LAURENA DIANE RICHARDSON


Address: 1750 112th Ave Ne Ste D050, Bellevue, WA 98004-3779
Phone: 2062153850

LAURENA DIANE RICHARDSON (NPI# 1306312392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306312392
Entity Type Individual
Full Name LAURENA DIANE RICHARDSON
Credential PA-C
Practice Address 1750 112th Ave Ne Ste D050
Bellevue
WA 98004-3779
Practice Telephone 2062153850
Practice Fax Number 2062153870
Mailing Telephone 2062153850
Mailing Fax Number 2062153870
Enumeration Date 2018-10-17
Last Update Date 2020-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA60997023 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1750 112TH AVE NE STE D050
City BELLEVUE
State WA
Zip Code 98004-3779

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003103565 Stefany Jeneifer Cameron Physician Assistant 1750 112th Ave Ne Ste D050, Bellevue, WA 98004 2011-07-06
1841568946 Proliance Surgeons, Inc., P.s. Ophthalmology 1750 112th Ave Ne Ste D050, Bellevue, WA 98004 2011-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1720553613 Christine Eyler Pediatrics Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 2018-10-08
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1356827828 Seattle Spine Group, Pllc Orthopaedic Surgery 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 2018-07-17
1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104308394 Johnny Thanh Nguyen Physician Assistant 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 2018-09-04
1982135570 Brooke Frances Bekkedahl Physician Assistant 1231 116th Ave Ne Ste 750, Bellevue, WA 98004-3812 2017-03-24
1518417476 Molly Beth Brownfield Hess Physician Assistant 1135-116th Avenue Ne, Suite 200, Bellevue, WA 98004 2016-10-04
1548719875 Forrest L. Simmons Physician Assistant 1231 116th Ave Ne Ste 750, Bellevue, WA 98004 2016-09-28
1740665009 Chelsea Beth Allen Physician Assistant 11511 Ne 10th St, Bellevue, WA 98004-8578 2015-07-28
1366846255 Daniel Lee Hurst Physician Assistant 1231 116th Ave Ne Ste 750, Bellevue, WA 98004-3812 2014-10-21
1669873634 Amy Larsen Physician Assistant 1135 116th Ave Ne Ste 500, Bellevue, WA 98004-4627 2014-09-10
1760784797 Dana P Jergens Physician Assistant 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 2010-11-24
1225181902 Michael J Young Physician Assistant 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 2007-01-18
1447288824 Jason D Workman Physician Assistant 1231 116th Ave Ne, Suite 750, Bellevue, WA 98004-3804 2006-06-28
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Competitor

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City BELLEVUE
Zip Code 98004

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Dataset Information

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.

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