DR. LARRY D PRUITT (NPI# 1386981850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386981850 |
| Entity Type | Individual |
| Full Name | DR. LARRY D PRUITT |
| Credential | PH.D. |
| Practice Address |
9933 W Hayes St Madigan Anx Joint Base Lewis Mcchord Tacoma WA 98431-0001 |
| Practice Telephone | 2539862946 |
| Mailing Telephone | 2539862946 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60239205 | WA | Behavioral Health & Social Service Providers |
| Street Address |
9933 W HAYES ST MADIGAN ANX JOINT BASE LEWIS MCCHORD |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
| 1780199125 | Christopher Edwards | Psychologist | 1500 N Warner St Stop 1035, Tacoma, WA 98416-1035 | 2017-12-07 |
| 1184134314 | Colleen Rustad | Psychologist | 3224 6th Ave, Tacoma, WA 98406-5902 | 2017-10-02 |
| 1174983316 | Troy Allen Robison | Psychologist | 9600 Veterans Dr Sw # A-116atc, Tacoma, WA 98493-5000 | 2016-03-01 |
| 1447618053 | Llc Courage 2b | Psychologist | 1764 N James St, Tacoma, WA 98406-1508 | 2016-02-10 |
| 1326415472 | Sean Morrison | Psychologist | 708 Broadway Ste 170, Tacoma, WA 98402-3778 | 2015-08-25 |
| 1740541945 | Quyen Bich Nguyen | Psychologist | 4301 S Pine St Ste 30-07, Tacoma, WA 98409-9123 | 2012-06-04 |
| 1518245679 | Christmas Covell | Psychologist | 2105 N 30th St, Tacoma, WA 98403-3318 | 2011-07-22 |
| 1790089001 | Maurice Patrick O'connor | Psychologist | 321 E 25th St, Tacoma, WA 98421-1300 | 2010-12-29 |
| 1326348947 | Elizabeth Harmony Johnson | Psychologist | 9040 Jackson Ave Tacoma, Tacoma, WA 98431-0001 | 2010-10-29 |
| Find all providers in TACOMA | ||||
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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.