David James Misslbeck, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

61481382 Issued in WA

Practice address

2641 Willamette Dr NE Ste a
Lacey, WA 98516-1360

Phone

(360) 548-8995

NPI assigned

Nov 1, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1184497166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15150 SUNWOOD BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882446",
            "telephone_number": "209-380-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 WILLAMETTE DR NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161360",
            "telephone_number": "360-548-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSLBECK",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "61481382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Douglas Millikin, MSW, LCSW
• Michelle Mills, OTD, OTR/L
• Sarah Ann Mills, CBT
• Mind Over Matter Healthcare Inc.
• Jasjit Minhas, DDS
• Wendy Mitkowski, LMHCA
• Bridget Mixon
• Tracy Mock, R.PH.
• Farzana Mohamedali
• Tiffany Mohr, PSYD

• Family Nurse Practitioner in Lacey, WA
• Providers in Lacey, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.