RONN CANTU (NPI# 1710436688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710436688 |
Entity Type | Individual |
Full Name | RONN CANTU |
Practice Address |
9040 Jackson Ave Attn: Mchj-clq-c Tacoma WA 98431-1100 |
Practice Telephone | 2539683793 |
Enumeration Date | 2016-10-03 |
Last Update Date | 2016-10-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WR0400X |
Registered Nurse Specialization: Rehabilitation |
95034438 | CA | Nursing Service Providers |
Street Address |
9040 JACKSON AVE ATTN: MCHJ-CLQ-C |
City | TACOMA |
State | WA |
Zip Code | 98431-1100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
Find all providers in the same location |
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 | 163WR0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013196955 | Claudia Jean Wieger | Registered Nurse | 1900 Veteran Drive, Tacoma, WA 98493-0001 | 2007-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
1427290097 | Luningning Barfield | Registered Nurse | 3945 Sw 328th Pl, Federal Way, WA 98023-2641 | 2009-03-29 |
1346351145 | Loretta J Lanz | Registered Nurse | 503 12 Ave E, Seattle, WA 98102 | 2006-08-31 |
1124409198 | Katrina Stringer | Registered Nurse | 815 K St, Hoquiam, WA 98550-3705 | 2015-06-15 |
1538420187 | Kristy Ann Romero | Registered Nurse | 711 S Cowley St, Spokane, WA 99202-1330 | 2012-05-30 |
1376675868 | Kathleen Boyd | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3753 | 2007-03-10 |
1083794762 | Elaine Esther Detwiler | Registered Nurse | 1660 S Columbian Way, #128, Seattle, WA 98108-1532 | 2006-10-16 |
1891796066 | Heidi Naber | Registered Nurse | 149 W Wiser Lake Rd, Ferndale, WA 98248-9421 | 2005-08-10 |
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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.