ROBERT BRIAN NOONAN (NPI# 1275715120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275715120 |
| Entity Type | Individual |
| Full Name | ROBERT BRIAN NOONAN |
| Credential | ARNP |
| Practice Address |
4422 6th Ave Se Lacey WA 98503-1020 |
| Mailing Address |
3857 Martin Way E Olympia WA 98506-5268 |
| Practice Telephone | 3607047170 |
| Practice Fax Number | 3607094374 |
| Mailing Telephone | 3607047170 |
| Mailing Fax Number | 3607094374 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2010-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
AP30007939 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184933822 | Robert James Noonan | Pharmacist | 7440 Louisburg Rd, Raleigh, NC 27616-6482 | 2010-09-29 |
| 1902867070 | Robert F Noonan | Family Medicine | 25 Professional Park Dr, Clarksville, AR 72830-4432 | 2006-03-29 |
| 1942201066 | Robert H Noonan | Internal Medicine | 500 Congress St, 3rd Floor, Quincy, MA 02169-0908 | 2005-08-10 |
| Street Address |
4422 6TH AVE SE |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078373 | Christopher Charles Staeheli | Psychiatry & Neurology | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2005-07-22 |
| 1598903940 | Kirks Drug Inc | Pharmacy | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2009-01-22 |
| 1174681597 | Claudia David | Counselor | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-12-05 |
| 1700950557 | Gary J Fredericksen | Counselor | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-11-20 |
| 1851463095 | Victoria Lynn Davis | Counselor | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-11-14 |
| 1780766055 | Dwight Frances Bushue | Registered Nurse | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-10-19 |
| 1457432932 | Marne Helen Nelson | Registered Nurse | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-10-18 |
| 1477569705 | Mark S Samson I | Psychiatry & Neurology | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780766055 | Dwight Frances Bushue | Registered Nurse | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-10-19 |
| 1457432932 | Marne Helen Nelson | Registered Nurse | 4422 6th Ave Se, Lacey, WA 98503-1020 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848561 | Heidi Lynnette Kangas | Registered Nurse | 1128 Broadway St, Longview, WA 98632-3831 | 2020-10-09 |
| 1184235418 | Afuthal Ndugwa Ssemakula | Registered Nurse | 614 Riverside Dr Apt B103, Wenatchee, WA 98801-6154 | 2020-08-11 |
| 1225671969 | Virginia Hadley | Registered Nurse | 3436 Mary Elder Rd Ne # E&t, Olympia, WA 98506-5050 | 2019-10-25 |
| 1114569464 | Diana Wilcox | Registered Nurse | 2011 Mottman Rd Sw, Tumwater, WA 98512-6218 | 2019-10-08 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1609351717 | Charlotte Gex Morgan | Registered Nurse | 57 W Main St Ste 260, Chehalis, WA 98532-4815 | 2018-09-25 |
| 1821571050 | Kimberlee Susan Long | Registered Nurse | 4104 Puffin Rd, Ferndale, WA 98248-9579 | 2018-09-13 |
| 1235669607 | Bridget Lash | Registered Nurse | 4319 Tyler Way, Anacortes, WA 98221-3215 | 2017-06-18 |
| 1174072623 | Vicki Boothe | Registered Nurse | 26254 Ne Barrett Rd, Kingston, WA 98346-9342 | 2016-09-26 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.