RAQUEL MARISOL BOLENDER (NPI# 1790119675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790119675 |
| Entity Type | Individual |
| Full Name | RAQUEL MARISOL BOLENDER |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1530 S Union Ave Tacoma WA 98405-1954 |
| Practice Telephone | 2537595340 |
| Mailing Telephone | 2537595340 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2014-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP60409450 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60409450 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1530 S UNION AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735108 | Maxwell R Knauss | Psychologist | 1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954 | 2005-07-21 |
| 1619414638 | Sandi Sambrano | General Practice | 1530 S Union Ave, Suite #4, Tacoma, WA 98405-1954 | 2017-01-28 |
| 1780035741 | Julia Lin Miller | Naturopath | 1530 S Union Ave, Suite 4, Tacoma, WA 98405-1954 | 2016-06-30 |
| 1457723504 | Jennifer M. Chapman | Marriage & Family Therapist | 1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954 | 2015-10-28 |
| 1114396736 | Daniel Allan Pratt | Psychologist | 1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954 | 2015-09-24 |
| 1588098214 | Michael Jenkins-guarnieri | Psychologist | 1530 S Union Ave, Suites 14 & 16, Tacoma, WA 98405-1954 | 2013-08-29 |
| 1255763009 | Warren Matthew Brown | Naturopath | 1530 S Union Ave, Suite 4, Tacoma, WA 98405-1954 | 2013-08-04 |
| 1407194970 | Jennifer Lynn Koch | Psychologist | 1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954 | 2013-01-17 |
| 1467761619 | Curtis Greenfield | Counselor | 1530 S Union Ave, Suite #16, Tacoma, WA 98405-1954 | 2010-10-05 |
| 1619111739 | Rebecca Sue Wentling | Registered Nurse | 1530 S Union Ave, Tacoma, WA 98405-1954 | 2009-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286336 | Annabelle T Vo | Nurse Practitioner | 3716 Pacific Ave Ste E, Tacoma, WA 98418-7836 | 2017-10-20 |
| 1114454667 | Uchenna Akukalia | Nurse Practitioner | 9040 Jackson Avenue Tacoma Wa 98431, Tacoma, WA 98431-0001 | 2017-05-15 |
| 1023569381 | Marisa Bell | Nurse Practitioner | 401 Broadway Ste 100, Tacoma, WA 98402-3900 | 2016-10-20 |
| 1225440019 | Understand Balance Mental Health Care | Nurse Practitioner | 720 6th Ave Apt 101, Tacoma, WA 98405-4661 | 2014-05-28 |
| 1053746867 | Robert Kopec | Nurse Practitioner | 5702 N 26th St Ste 1a, Tacoma, WA 98407-2406 | 2013-09-11 |
| 1093834350 | Viridian Associates, LLC | Nurse Practitioner | 707 Pacific Ave, Tacoma, WA 98402-5207 | 2007-03-28 |
| 1790831055 | Christine Karczewski | Nurse Practitioner | 9 St Helens Ave, Level B, Tacoma, WA 98402-2600 | 2007-01-26 |
| 1689725376 | Nancy Corley-wheeler | Nurse Practitioner | 608 S G Street, Tacoma, WA 98405-4625 | 2007-01-16 |
| 1366459489 | Tanya Laplant | Nurse Practitioner | 5410 N 44th St, Tacoma, WA 98407-3715 | 2006-08-02 |
| 1710505029 | Amity Tucker | Nurse Practitioner | 5702 N 26th St Ste A, Tacoma, WA 98407-2406 | 2020-07-13 |
| Find all providers in TACOMA | ||||
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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.