BASTION HEALTH PC (NPI# 1750921193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750921193 |
| Entity Type | Organization |
| Organization Name | BASTION HEALTH PC |
| Practice Address |
4515 Logan Dr Ne Lacey WA 98516-1350 |
| Practice Telephone | 5592307064 |
| Mailing Telephone | 5592307064 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | AMY M WARNER (OWNER/NP) |
| Authorized Official Telephone | 5592307064 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bastion Health | Doing Business As Name - Organization |
| Street Address |
4515 LOGAN DR NE |
| City | LACEY |
| State | WA |
| Zip Code | 98516-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710219522 | Warren Physician Services | Family Medicine | 5420 22nd Ave Se, Lacey, WA 98503-2804 | 2010-02-03 |
| 1538331418 | Eric Daniel Thomas | Family Medicine | 130 Marvinrd Se #112, Express Urgent Care, Lacey, WA 98503 | 2008-03-31 |
| 1033309604 | Providence Health & Services Washington | Family Medicine | 1450 Northwest Lane Se, Lacey, WA 98503-6908 | 2007-07-30 |
| 1205951076 | Christian William Dahl | Family Medicine | 1009 College St., Lacey, WA 98503-5310 | 2007-03-20 |
| 1386788537 | Northwest Family Care Clinic Pllc | Family Medicine | 5203 Lacey Blvd Se, Suite A, Lacey, WA 98503-7236 | 2007-02-19 |
| 1558435958 | Myrna Palasi | Family Medicine | 4220 Ingleside Dr Se, Lacey, WA 98503-2108 | 2006-11-17 |
| 1033202767 | Ann Tosomeen | Family Medicine | 3928 Pacific Avenue, Lacey, WA 98503 | 2006-10-02 |
| 1417040460 | Llien Mong Tran | Family Medicine | 1202 Sleater Kinney Rd Se, Lacey, WA 98503-2316 | 2006-10-02 |
| 1982714317 | Lucinda Alpert Grande | Family Medicine | 5130 Corporate Center Ct Se, Pioneer Family Practice, Lacey, WA 98503-5957 | 2006-08-30 |
| 1235105719 | Ronald Charles Krauss | Family Medicine | 5602 Ruddell Rd Se, Lacey, WA 98503 | 2006-02-24 |
| Find all providers in LACEY | ||||
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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.