JOAN STIGGELBOUT (NPI# 1770530305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770530305 |
| Entity Type | Individual |
| Full Name | JOAN STIGGELBOUT |
| Credential | ARNP |
| Practice Address |
603 3rd Ave Se Pacific WA 98047-1431 |
| Mailing Address |
Po Box 40 Puyallup WA 98371-0137 |
| Practice Telephone | 2533510450 |
| Mailing Telephone | 2536975502 |
| Mailing Fax Number | 2536975510 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP30000776 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9605387 | 05 |
| Street Address |
603 3RD AVE SE |
| City | PACIFIC |
| State | WA |
| Zip Code | 98047-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760986160 | Salome Khasungu Shivachi | Registered Nurse | 208 Tacoma Blvd N, Pacific, WA 98047-1010 | 2018-03-20 |
| 1801406343 | Juan B Medina | Interpreter | 101 Tacoma Blvd N Apt 1, Pacific, WA 98047-1045 | 2020-08-07 |
| 1578924999 | Vito Joseph Tamburello | Dental Assistant | 733 4th Ave Ne Apt 507, Pacific, WA 98047-1266 | 2016-03-12 |
| 1467761965 | Suzan Marie-jon Douglass | Massage Therapist | 345 Pacific Ave N Apt Bb6, Pacific, WA 98047-1291 | 2010-09-30 |
| 1790090991 | Judy H Jansen | Specialist | 410 Milwaukee Blvd S, Pacific, WA 98047-1315 | 2010-08-11 |
| 1750734745 | Grady Smith | Counselor | 128 Blueberry Ct Sw, Pacific, WA 98047-1354 | 2016-07-14 |
| 1609414424 | Sarah Danielle Dwyer | Massage Therapist | 253 6th Ave Sw, Pacific, WA 98047-1371 | 2019-12-11 |
| 1922632058 | Katherine Barbara Lukes | Specialist/Technologist | 624 Glacier Ave S, Pacific, WA 98047-1378 | 2020-02-27 |
| 1669837621 | Kiley K Gallentine | Counselor | 413 Wayne Ave Se, Pacific, WA 98047-1453 | 2015-12-17 |
| 1235141474 | Scooters America LLC | Durable Medical Equipment & Medical Supplies | 170 Stewart Rd Sw, Pacific, WA 98047-2108 | 2006-08-13 |
| Find all providers in zip 98047 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
| 1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
| 1598319683 | Jennifer Lynn Bryson | Nurse Practitioner | 8738 Falls Ave Se, Snoqualmie, WA 98065-9610 | 2019-07-28 |
| 1013494434 | Lindsay Bascom Brown | Nurse Practitioner | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 | 2018-07-27 |
| 1518475631 | Sarah Remorca Agtarap | Nurse Practitioner | 175 1st Pl Nw Ste A, Issaquah, WA 98027-2746 | 2018-01-11 |
| 1518470137 | Bear Creek Pediatrics | Nurse Practitioner | 105 W 8th Ave Ste 7035, Spokane, WA 99204-2313 | 2017-11-06 |
| 1871005298 | Alexis Anne Abel | Nurse Practitioner | 15650 Ne 24th St Ste C, Bellevue, WA 98008-2460 | 2017-10-25 |
| 1326569021 | Spencer Rorie Crihfield | Nurse Practitioner | Po Box 1452, Pasco, WA 99301-1223 | 2017-07-03 |
| 1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
| 1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
| Find all providers with the same taxonomy | ||||
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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.