VA PUGET SOUND HEALTH CARE SYSTEM (NPI# 1356680052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356680052 |
| Entity Type | Organization |
| Organization Name | VA PUGET SOUND HEALTH CARE SYSTEM |
| Other Organization Name | FEDERAL HOSPITAL |
| Practice Address |
9600 Veterans Dr Sw A-116-148 Tacoma WA 98493-5000 |
| Practice Telephone | 2535832829 |
| Practice Fax Number | 2535894042 |
| Mailing Telephone | 2535832829 |
| Mailing Fax Number | 2535894042 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | MR. ANTONIO BERNARD LEVERETTE SR. (VOCATIONAL REHABILITATION SPECIALIS) |
| Authorized Official Telephone | 2535832829 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | WA | Hospitals |
| Other Name | Type Code |
|---|---|
| Federal Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083676340 | Va Puget Sound Health Care System | Psychiatric Hospital | Va Puget Sound Health Care System, American Lake D, 9600 Veterans Drive Sw, Tacoma, WA 98493-0001 | 2006-04-03 |
| 1275707812 | Va Puget Sound Health Care System | Clinic/Center | 307 S 13th St, #200, Mount Vernon, WA 98274-4100 | 2008-04-15 |
| 1922295922 | Va Puget Sound Health Care System | General Acute Care Hospital | 1660 S Columbian Way, Seattle, WA 98108 | 2007-10-03 |
| 1952597635 | Va Puget Sound Health Care System | Military Hospital | 1660 S Columbian Way, Seattle, WA 98108 | 2007-09-17 |
| 1578789459 | Va Puget Sound Health Care System | General Acute Care Hospital | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2007-04-18 |
| 1518073253 | Va Puget Sound Health Care System | General Acute Care Hospital | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2006-08-23 |
| Street Address |
9600 VETERANS DR SW A-116-148 |
| City | TACOMA |
| State | WA |
| Zip Code | 98493-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418739 | Lyndel Cubberley | Nurse Practitioner | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2005-06-27 |
| 1770182453 | Karri Vierra | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-10-22 |
| 1083223788 | Brianna Bryant | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-07-28 |
| 1760007066 | Kristy Mildon | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-06-11 |
| 1184245789 | Malcolm Reed | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-05-05 |
| 1396365060 | Jordan Cannon | Audiologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-04-22 |
| 1831725258 | Ashley Brown | Student in an Organized Health Care Education/Training Program | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-03-17 |
| 1942833645 | Ashley Kristine Satter | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-20 |
| 1912539081 | Shanna Jeane Rea | Recreation Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-06 |
| 1104465251 | Tyler Ritsema | Specialist/Technologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389032 | Alina Pechko | Optometrist | 9600 Veterans Dr Sw Bldg 6, Tacoma, WA 98493 | 2017-07-17 |
| 1720372121 | Va Hospital American Lake | Rehabilitation Hospital | 9600 Veterans Dr., Lakewood, WA 98493 | 2011-06-02 |
| 1326290305 | Margaret Elizabeth Johnston-grysho | Social Worker | 9600 Veterans Dr Sw Bldg 148, Tacoma, WA 98493 | 2008-10-21 |
| 1811195126 | Jerry J Thomas | Psychiatry & Neurology | Va Puget Sound Health Care System, American Lake Divisi, 9600 Veterans Drive Southwest, Buidling 61, Tacoma, WA 98493 | 2007-07-08 |
| 1043372873 | Tomi Thompson Dominguez | Social Worker | 9600 Veteran's Drive Sw Bldg 61 Room 136, Puget Sound Va- American Lake Division, Tacoma, WA 98493 | 2006-12-15 |
| 1669555397 | Amor G Carethers | Registered Nurse | Va Puget Sound Anerican Lake Division, 9600 Veterans Drive, Lake Wood, WA 98493 | 2006-10-24 |
| 1295818144 | Kimha Thi Vu | Registered Nurse | 9600 Veteran Dr., Lakewood, WA 98493 | 2006-10-23 |
| 1952496226 | Cathy Ann Sorem | Registered Nurse | 9600 Veterans Drive A116-r, Bldg. 61a, Room 123, Tacoma, WA 98493 | 2006-10-04 |
| 1831285527 | Ann Christine Uppenberg-liedtke | Nurse Practitioner | Puget Sound Health Care Systems, American Lake, 9600 Veterans Drive, Tacoma, WA 98493 | 2006-10-04 |
| 1972695948 | Charlene Howard | Social Worker | 9600 Veteran Drive, Tacoma, WA 98493 | 2006-09-28 |
| Find all providers in zip 98493 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811559693 | Knd Development 59, LLC | Rehabilitation Hospital | 815 S Vassault St, Tacoma, WA 98465-2008 | 2019-07-02 |
| 1245756410 | Franciscan Specialty Care, LLC | Rehabilitation Hospital | 815 S Vassault St, Tacoma, WA 98465-2008 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720372121 | Va Hospital American Lake | Rehabilitation Hospital | 9600 Veterans Dr., Lakewood, WA 98493 | 2011-06-02 |
| 1164538062 | Duffy I, Lp | Rehabilitation Hospital | 12101 Ambaum Blvd Sw, Burien, WA 98146-2651 | 2006-08-22 |
| 1063445849 | Erin Hirschler | Rehabilitation Hospital | Vapshcs Seattle Division Rcs-117-s, 1660 S Coumbian Way, Seattle, WA 98118 | 2006-07-07 |
| 1497752091 | Inland Northwest Health Services | Rehabilitation Hospital | 711 S Cowley St, Spokane, WA 99202-1330 | 2005-06-28 |
| 1821542358 | Nasreen Colabawalla-dixon | Rehabilitation Hospital | 325 9th Ave, Box 359859, Seattle, WA 98104-2420 | 2016-08-12 |
| 1588012272 | Kristen Esselman | Rehabilitation Hospital | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2016-06-02 |
| 1629450226 | Hearing, Speech & Deafness Center | Rehabilitation Hospital | 1625 19th Ave, Seattle, WA 98122-2848 | 2015-06-19 |
| 1700281276 | Va Puget Sound Healthcare System | Rehabilitation Hospital | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2014-10-27 |
| 1932538386 | Cassandra Ries | Rehabilitation Hospital | 530 S 336th St, Suite C, Federal Way, WA 98003-6383 | 2013-11-06 |
| 1053740613 | Misty Fletcher | Rehabilitation Hospital | 2701 Clare Ave, Bremerton, WA 98310-3313 | 2013-11-04 |
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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.