MRS. LAURA GOERGEN RADOCCHIA


Address: 8536 Turners Bay Pl, Anacortes, WA 98221-9350
Phone: 3609686860

MRS. LAURA GOERGEN RADOCCHIA (NPI# 1760877765) 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) 1760877765
Entity Type Individual
Full Name MRS. LAURA GOERGEN RADOCCHIA
Other Name MS. LAURA GRACE GOERGEN
Credential NP
Practice Address 8536 Turners Bay Pl
Anacortes
WA 98221-9350
Practice Telephone 3609686860
Practice Fax Number 3609686608
Mailing Telephone 3609686860
Mailing Fax Number 3609686608
Enumeration Date 2015-04-06
Last Update Date 2020-09-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 95047545 CA Nursing Service Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201905022NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP60961186 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95004793 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
52 Dore St, San Francisco, CA 941033828 4155533100 4155533119

Office Location

Street Address 8536 TURNERS BAY PL
City ANACORTES
State WA
Zip Code 98221-9350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720695851 Natural Psychiatry, Pllc Clinic/Center 8536 Turners Bay Pl, Anacortes, WA 98221-9350 2020-09-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760035703 Amber Upchurch Behavioral Analyst 2405 28thst, Anacortes, WA 98221 2019-07-18
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1558843524 Caitlyn Kimble Crowder Physical Therapist 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 2018-09-05
1740731819 Stanojka Norma Stuart Speech-Language Pathologist 6837 Deer Lane, Anacortes, WA 98221 2016-10-24
1447638853 Island Behavioral Medicine, Ps Counselor 3208 K Ave, Anacortes, WA 98221 2015-05-18
1972903615 Clarence Hugh Jonson Specialist 6818 Gibralter Place, Anacortes, WA 98221 2014-08-29
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1104161066 Nancy J. Schafer Speech-Language Pathologist 2200 M Avenue, Anacortes, WA 98221 2012-12-04
1063766053 Ingrid K. Larson Thieman Pharmacist 9080 S March Pt Road B4, Anacortes, WA 98221 2012-10-30
1265793723 Elga Kinnear Psychologist 1019 21st Street, Anacortes, WA 98221 2012-05-31
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1376160861 Clarity Behavioral Health Nurse Practitioner 7704 193rd Pl Sw, Edmonds, WA 98026-6234 2020-06-30
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Competitor

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City ANACORTES
Zip Code 98221

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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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