Emily Olivia Dames, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61240745 Issued in WA

Practice address

108 Kindle Rd
Randle, WA 98377-9209

Phone

(360) 497-3333

NPI assigned

Mar 18, 2021

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis County Hospital District No 1Group PAC ID 6002727385, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arbor Health Morton Hospital Hospital, Morton, WA, CCN 501319

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lewis County Hospital District No. 1

  dba Arbor Health Morton Hospital

  • Emergency Medicine Physician
  • Morton, WA
  • NPI 1205882909
  Medicare reassignment Care Compare group
• Lewis County Hospital District No. 1

  • Rural Health Clinic/Center
  • Packwood, WA
  • NPI 1497466494
  NPD
• Lewis County Hospital District No. 1

  dba Arbor Health Morton Clinic

  • Rural Health Clinic/Center
  • Morton, WA
  • NPI 1952415432
  NPD
• Lewis County Hospital District No. 1

  dba Arbor Health Specialty Clinic

  • Surgery Physician
  • Morton, WA
  • NPI 1386679777
  NPD (past)
• Lewis County Hospital District No. 1

  dba Arbor Health Randle Clinic

  • Family Medicine Physician
  • Randle, WA
  • NPI 1427083815
  NPD (past)

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

• Lewis County Hospital District No 1

  dba Arbor Health Morton Hospital

  • Critical Access Hospital
  • Morton, WA
  • NPI 1154361814
  Care Compare affiliation

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1215513452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1138",
            "city": "MORTON",
            "state": "WA",
            "postal_code": "983560019",
            "telephone_number": "360-496-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KINDLE RD",
            "city": "RANDLE",
            "state": "WA",
            "postal_code": "983779209",
            "telephone_number": "360-497-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1148 Broadway Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023518",
            "country_code": "US",
            "telephone_number": "253-722-2161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMES",
        "first_name": "EMILY",
        "middle_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61240745",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Gene Conklin, PAC
• Pamala Hedglin, MSW
• Ryan P Lemert, DMD
• Lewis County Fire Protection District 14
• Lewis County Fire Protection District 14 (Randle Fire & EMS)
• Lewis County Hospital District No. 1 (Arbor Health Randle Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.