MICHELLE LEA BAJEMA


Address: 6212 75th St W # 1, Lakewood, WA 98499-8368
Phone: 2539838507

MICHELLE LEA BAJEMA (NPI# 1760966139) 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) 1760966139
Entity Type Individual
Full Name MICHELLE LEA BAJEMA
Other Name MICHELLE LEA GOFF
Credential ARNP
Practice Address 6212 75th St W # 1
Lakewood
WA 98499-8368
Mailing Address 4930 Marian Dr Ne
Olympia
WA 98516-2239
Practice Telephone 2539838507
Mailing Telephone 3604648911
Enumeration Date 2018-09-20
Last Update Date 2018-09-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP60892325 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6212 75TH ST W # 1
City LAKEWOOD
State WA
Zip Code 98499-8368

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1447736657 Marcela Cunan Counselor 9330 59th Avenue Southest, Lakewood, WA 98499 2018-07-11
1609382381 Leroy Moore IIi Counselor 8811 S. Tacoma Way, 106, Lakewood, WA 98499 2017-12-18
1578077657 Andrea Gaston Behavior Technician 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 2017-11-27
1609389931 Jennifer King Social Worker 5900 100th St Sw Ste 17b, Lakewood, WA 98499 2017-11-08
1750806337 Wonyoung Lee Counselor 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 2017-08-04
1043749443 Frederick Paltron Edwards Counselor 9500 Front Street, Suite 100, Lakewood, WA 98499 2017-06-08
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033720289 Robin Jean Mills Nurse Practitioner 2162 Lewis Dr, Lakewood, OH 44107-6141 2020-08-12
1720646771 Se Won Min Nurse Practitioner 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 2019-06-04
1790245736 Therese Jean Calabrese Nurse Practitioner 7525 W 10th Ave # 100, Lakewood, CO 80214-4493 2019-03-25
1881097707 Marjory Strawn Nurse Practitioner 7114 W Jefferson Ave Ste 306, Lakewood, CO 80235-2354 2014-10-06
1992077630 Tzivya Kownat Nurse Practitioner 23 Kedma Dr, Lakewood, NJ 08701-3599 2012-01-26
1033118344 Erin Alane Jacobson Nurse Practitioner 6212 75th St W, Lakewood, WA 98499-8368 2005-07-19
1780299495 Rachel E King Nurse Practitioner 305 E Fairmount Ave, Lakewood, NY 14750-2000 2020-09-10
1073135505 Se Hee Min Nurse Practitioner 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499-3148 2020-05-06
1255964268 Casey Brown Nurse Practitioner 305 E Fairmount Ave, Lakewood, NY 14750-2000 2020-02-18
1316588619 Alimatou Moustapha Nurse Practitioner 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 2019-10-08
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Competitor

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City LAKEWOOD
Zip Code 98499

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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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