WENDY C. IMBERG (NPI# 1578664132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578664132 |
| Entity Type | Individual |
| Full Name | WENDY C. IMBERG |
| Credential | ARNP |
| Practice Address |
19200 N Kelsey St Monroe WA 98272-1431 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3607947994 |
| Practice Fax Number | 3608054755 |
| Mailing Telephone | 8663662983 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP30002555 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9611518 | 05 |
| Street Address |
19200 N KELSEY ST |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024229 | Ellen M Kim | Internal Medicine | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2005-06-23 |
| 1922629419 | Davinder Singh Jhattu | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2020-05-06 |
| 1932720406 | Lina Le | Student in an Organized Health Care Education/Training Program | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2020-05-06 |
| 1730712779 | Donna Flora Lee | Nurse Practitioner | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2020-02-18 |
| 1396303251 | Joshua Michael Baxter | Student in an Organized Health Care Education/Training Program | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2019-06-04 |
| 1457919482 | Kaitlyn Lauren Kincaid | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2019-06-04 |
| 1972074938 | Laboratory Corporation of America | Clinical Medical Laboratory | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2018-12-16 |
| 1306326988 | Priscilla Sanchez | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2018-08-14 |
| 1235618166 | Spencer Mister | Social Worker | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2018-08-10 |
| 1316477789 | April Suen | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2017-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376162 | Jody Kusheba | Nurse Practitioner | 72 Cottage St, Monroe, CT 06468-2917 | 2020-08-16 |
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1164075453 | Lisa Marie Kelly | Nurse Practitioner | 10 E Front St Apt B, Monroe, MI 48161-2269 | 2019-07-16 |
| 1205496361 | Anna Grace Livingston | Nurse Practitioner | 2509 Broadmoor Blvd Ste A, Monroe, LA 71201-3184 | 2019-06-19 |
| 1255898417 | Natalie Movsessian | Nurse Practitioner | 402 Stewart Rd, Monroe, MI 48162-4273 | 2019-02-25 |
| 1609358829 | Connie Sue Keller | Nurse Practitioner | 5038 Southpointe Pkwy, Monroe, MI 48161-4540 | 2018-09-04 |
| 1932689965 | Lewis Medical of Northeast Louisiana | Nurse Practitioner | 470 Springhill Rd, Monroe, LA 71203-9696 | 2018-08-20 |
| 1407348352 | Matthew D Mcguffee | Nurse Practitioner | 2516 Broadmoor Blvd Ste 2c-2, Monroe, LA 71201-2988 | 2018-06-05 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1104352319 | Cliff R. Ferreira | Nurse Practitioner | 730 N Monroe St, Suite #319, Monroe, MI 48162-2972 | 2017-05-08 |
| Find all providers in MONROE | ||||
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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.