Individual provider Active NPI

Laural Janet Schaberg, ARNP

  • Family Nurse Practitioner
  • University Place, WA
National Provider Identifier
1104814284
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30004746 Issued in WA
Practice address
2607 Bridgeport Way W Ste 1a
University Place, WA 98466-4721
Phone
(253) 473-7637
Fax
(253) 671-8472
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP30004746 WA
Family Nurse Practitioner 363LF0000X AP30004746 WA Primary

Addresses

Primary practice location

2607 Bridgeport Way W Ste 1a
University Place, WA 98466-4721

Mailing address

2607 Bridgeport Way W Ste 1a
University Place, WA 98466-4721
Phone (253) 473-7637

Other identifiers 3

IdentifierTypeStateIssuer
9636101MedicaidWA
9622259MedicaidWA
AP30004746OtherWAAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000041 WA Practitioner - Nurse Practitioner 3072594142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2607 Bridgeport Way W
Suite 1a
University Place, WA 98466-4721
Phone (253) 473-7637

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Advanced Care - Washington PC CurrentSince Jun 1, 2021 Accepting new patients
Laural J Schaberg MSN Arnp PS Family CurrentSince Jan 14, 2004 Accepting new patients
Dispatchhealth Washington PC CurrentSince May 24, 2021 Accepting new patients

Locations

1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720

920 N Argonne Rd
Ste 115
Spokane Valley, WA 99212
Phone (509) 408-2107

1818 S Union Ave
Ste 2A
Tacoma, WA 98405
Phone (253) 473-7637

6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720

2607 Bridgeport Way W
Ste 1A
University Place, WA 98466
Phone (253) 473-7637

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1104814284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 1A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664721",
            "telephone_number": "253-473-7637",
            "fax_number": "253-671-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W STE 1A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664721",
            "telephone_number": "253-473-7637",
            "fax_number": "253-671-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHABERG",
        "first_name": "LAURAL",
        "middle_name": "JANET",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP30004746",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30004746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9636101",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9622259",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP30004746",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.