STACI DUMERTON (NPI# 1932594587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932594587 |
| Entity Type | Individual |
| Full Name | STACI DUMERTON |
| Practice Address |
910 W 5th Ave Suite 800 Spokane WA 99204-2966 |
| Mailing Address |
Po Box 3649 Spokane WA 99220-3649 |
| Practice Telephone | 5098382531 |
| Practice Fax Number | 5097556580 |
| Mailing Telephone | 5098382531 |
| Mailing Fax Number | 5097556580 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60697733 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
910 W 5TH AVE SUITE 800 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663835 | Ted A. Branstetter | Physician Assistant | 910 W 5th Ave, Ste 1000, Spokane, WA 99204-2966 | 2005-07-19 |
| 1053944520 | Dani Michelle Whitmore | Advanced Practice Midwife | 910 W 5th Ave, Spokane, WA 99204-2966 | 2020-02-12 |
| 1205354727 | Abigail Lee Blumenthal | Physician Assistant | 910 W 5th Ave, Spokane, WA 99204-2966 | 2017-09-05 |
| 1396195459 | Rockwood Clinic Ps | Durable Medical Equipment & Medical Supplies | 910 W 5th Ave, Suite 500, Spokane, WA 99204-2966 | 2016-06-20 |
| 1588018592 | Mason Maurice Van Nostrand | Physician Assistant | 910 W 5th Ave, Suite 900, Spokane, WA 99204-2966 | 2016-04-15 |
| 1447621578 | Rockwood Clinic, P.s. | Non-Pharmacy Dispensing Site | 910 W 5th Ave, Suite 700, Spokane, WA 99204-2966 | 2015-10-15 |
| 1255719670 | Daniel Rodgers | Dietitian, Registered | 910 W 5th Ave, Suite 800, Spokane, WA 99204-2966 | 2015-05-18 |
| 1972922888 | Andrea Jordan | Registered Nurse | 910 W 5th Ave, Suite 102, Spokane, WA 99204-2966 | 2014-04-08 |
| 1093134074 | Megan Marion | Registered Nurse | 910 W 5th Ave, Suite 102, Spokane, WA 99204-2966 | 2014-04-07 |
| 1023369527 | Gregory R. Lang | Physician Assistant | 910 W 5th Ave, Suite 1000, Spokane, WA 99204-2966 | 2012-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| 1295189066 | Thomas D Eskelsen | Physician Assistant | 910 W 5th Ave Ste 801, Spokane, WA 99204-2974 | 2016-04-19 |
| 1063818789 | Jeffrey Jason Hershey | Physician Assistant | 6022 N Vista Ridge Ln, Spokane, WA 99217-5503 | 2014-11-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1891116216 | Heather Stout | Physician Assistant | 605 E Holland Ave Ste 101, Spokane, WA 99218-1246 | 2014-01-02 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1700218534 | Terry Anne Noyes | Physician Assistant | 528 E Spokane Falls Blvd Ste 502, Spokane, WA 99202 | 2013-08-03 |
| 1710237003 | Amber N Wilson | Physician Assistant | 1422 E Grassland Ct, Spokane, WA 99217-8700 | 2012-09-13 |
| 1669747275 | Tiffany Lynn Forquer | Physician Assistant | 601 West Fifth Avenue, Suite 400, Spokane, WA 99204-2457 | 2012-03-14 |
| 1235420498 | Lauren Patton | Physician Assistant | 9027 N Indian Trail Rd, Spokane, WA 99208-9116 | 2011-04-22 |
| Find all providers in SPOKANE | ||||
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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.