MARY LUCILLE JANSMA


Address: 600 N. Broadway, Longview, WA 98632-0302
Phone: 3604142177

MARY LUCILLE JANSMA (NPI# 1811060874) 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) 1811060874
Entity Type Individual
Full Name MARY LUCILLE JANSMA
Credential ARNP
Practice Address 600 N. Broadway
Longview
WA 98632-0302
Mailing Address Po Box 3002
600 N. Broadway
Longview
WA 98632-0302
Practice Telephone 3604142177
Practice Fax Number 3604142210
Mailing Telephone 3604142177
Mailing Fax Number 3604142210
Enumeration Date 2006-11-16
Last Update Date 2007-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP30005737 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
AP30005737 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA LABOR & IND. 0220991 01
WA 9652611 05
WA CRIME VICTIMS 8944406 01

Office Location

Street Address 600 N. BROADWAY
City LONGVIEW
State WA
Zip Code 98632-0302

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992366 Honor Senior Care LLC Home Health Aide 1135 3rd Ave, Ste S101, Longview, WA 98632 2020-11-03
1417416728 Sam Wise Dentist 1538 11th Ave Lowr Columbia, Longview, WA 98632 2019-03-16
1053870717 Matthew Johnson Physician Assistant 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 2019-03-12
1295205367 Abid Valji Occupational Therapist Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 2018-11-30
1184106437 Peacehealth Durable Medical Equipment & Medical Supplies Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 2018-09-04
1982186318 Linda Joan Mason Licensed Practical Nurse 1153 23rd Ave, Longview, WA 98632 2018-09-01
1891291910 Ellen Sumner Hornbeak Physical Therapist 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 2018-04-05
1700399961 Johnna Joyce Knapp Speech-Language Pathologist 2615 Lilac St, Longview, WA 98632 2017-11-09
1841711868 Deborah Annette Burzynski Registered Nurse 1057 12th Avenue, Longview, WA 98632 2017-06-29
1598291122 Cheyenne West Counselor 1616 10th Avenue, Longview, WA 98632 2017-05-02
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508473893 Kimberly Armstrong Nurse Practitioner 1104 Tiffany Ln, Longview, TX 75604-2803 2020-09-30
1194353730 Dusty Rae Hane Nurse Practitioner Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 2020-03-30
1639542046 Megan Wilder Nurse Practitioner 800 Padon St, Longview, TX 75601-6611 2015-11-06
1134504426 Siobain Kay Rogers Nurse Practitioner 703 E Marshall Ave Ste 4003, Longview, TX 75601 2015-07-28
1780712257 Jennifer Boynton Nurse Practitioner 705 E Marshall Ave Ste 3000, Longview, TX 75601 2007-02-28
1528115755 Melissa A Sutton Nurse Practitioner 709 Hollybrook Drive, Suite 2301, Longview, TX 75605-2411 2007-01-03
1164499661 Linda C Boggs Nurse Practitioner 3211 N 4th St, Suite A, Longview, TX 75605-5145 2006-03-02
1104804582 Libbie Sue Stokke Nurse Practitioner 911 W Loop 281 Ste 300, Longview, TX 75604-2934 2006-01-05
1801408547 Jacquline D Jansen Nurse Practitioner 121 Gilmer Rd, Longview, TX 75604-4616 2020-08-22
1134744410 Sara Elizabeth Hale Nurse Practitioner 323 E Hawkins Pkwy, Longview, TX 75605-8153 2020-06-11
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Competitor

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City LONGVIEW
Zip Code 98632

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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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