MRS. CRYSTAL RADICE-DUNBLAZIER


Address: 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000
Phone: 2539681110

MRS. CRYSTAL RADICE-DUNBLAZIER (NPI# 1528425907) 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) 1528425907
Entity Type Individual
Full Name MRS. CRYSTAL RADICE-DUNBLAZIER
Credential CVN
Practice Address 9040 Reid Street, Attn: Mchj-clq-c
Madigan Army Medical Center
Tacoma
WA 98431-1000
Practice Telephone 2539681110
Practice Fax Number 8778741031
Mailing Telephone 2539681110
Mailing Fax Number 8778741031
Enumeration Date 2016-01-15
Last Update Date 2016-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse 327745 TX Nursing Service Providers

Office Location

Street Address 9040 REID STREET, ATTN: MCHJ-CLQ-C
MADIGAN ARMY MEDICAL CENTER
City TACOMA
State WA
Zip Code 98431-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184070872 Kristal Kay Kennedy Licensed Practical Nurse 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2016-05-11
1780048710 Donna Gayle Winters Registered Nurse 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2016-04-06
1750745790 Jessica Lynn Strickland Licensed Practical Nurse 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2016-04-06
1407219983 Lisa Amanda Auclair Registered Nurse 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2016-04-01
1164883419 Richard James Travis Jr. Licensed Practical Nurse 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1100 2016-03-15
1093176364 Kimberly Taylor Ann Blair Registered Nurse 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2016-03-15
1801257175 Brittany Emily Parak Registered Nurse 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2016-03-15
1528429826 Alicia M Knapp Emergency Medical Technician, Basic 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2016-03-14
1073974374 Jordana Susanne Malace Registered Nurse 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2016-03-14
1093175366 Ashley Nicole Baker Registered Nurse 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 2016-03-01
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700432523 Pamela Taylor Licensed Vocational Nurse 759 S 40th St Apt 3, Tacoma, WA 98418-4904 2019-08-16
1922525096 Troy Mark Clark Licensed Vocational Nurse Madiagan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2017-08-29
1174130017 Dana Wynn Licensed Vocational Nurse 721 Fawcett Ave, Tacoma, WA 98402-5502 2020-09-24
1518432863 Ryan Romero Swinson Licensed Vocational Nurse Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2018-10-12
1679059141 Paulina Antonia Navarro Licensed Vocational Nurse 9040 Jackson Ave, Attn Mchj-clq-c, Tacoma, WA 98431-0001 2018-07-17
1629575477 Luiza Miranda Pegado Licensed Vocational Nurse 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 2018-04-09
1881106615 Carolyn Jung Licensed Vocational Nurse Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 2017-11-02
1982137030 Ashley Fletcher Licensed Vocational Nurse 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 2017-04-05
1760933824 Cristopher Ayala Licensed Vocational Nurse Madigan Army Medical Ctr, 9040 Jackson Ave., Tacoma, WA 98431-1100 2016-10-24
1215383294 Jasmine Mcgee-crawford Licensed Vocational Nurse 9040 Jackson Ave, Tacoma, WA 98387-4154 2016-05-10
Find all providers in TACOMA

Competitor

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City TACOMA
Zip Code 98431

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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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