Laura Nicole Tarango

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61575806 Issued in WA

Practice address

6802 W Rio Grande Ave Ste 1
Kennewick, WA 99336-7684

Phone

(509) 572-2201

Fax

(509) 783-8844

NPI assigned

Jul 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Pediatrics for You, PLLC

  • Pediatrics Physician
  • Kennewick, WA
  • NPI 1427240449
  NPD

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1114765146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 W RIO GRANDE AVE STE 1",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367684",
            "telephone_number": "509-572-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 W RIO GRANDE AVE STE 1",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367684",
            "telephone_number": "509-572-2201",
            "fax_number": "509-783-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANGO",
        "first_name": "LAURA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61575806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "PA61575806",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Uy Tan, MD
• Puneet Tandon, MD
• Mindy Tanimoto, ARNP
• Tamara Kay Tanninen, LMHC
• Christine Boynton Tano, M.S.CCC-SLP
• Corinth Tardif, ARNP
• Tarra Gray LMP
• Helen Santos Tatunay, MD
• Morgan Jane Taylor, MHC
• Rebecca Lynn Taylor, D.C.

• Physician Assistant in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.