Individual provider Active NPI

Mary Anne Elizabeth Landowski, RN00130116

  • Wound Care Registered Nurse
  • Tacoma, WA
National Provider Identifier
1235109471
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
RN00130116 Issued in WA
Practice address
Madigan Army Medial Center
9040A Fitzsimmons Ave; C/O Vascular Clinic
Tacoma, WA 98431-0001
Phone
(253) 968-2357
Fax
(253) 968-5997
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X RN00130116 WA Primary

Addresses

Primary practice location

Madigan Army Medial Center
9040A Fitzsimmons Ave; C/O Vascular Clinic
Tacoma, WA 98431-0001

Mailing address

29217 25TH Ave S
Roy, WA 98580-7703
Phone (253) 968-2357

Other names 1

  • Mary Anne Elizabeth Landowski Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN00130116WAMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1235109471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29217 25TH AVE S",
            "city": "ROY",
            "state": "WA",
            "postal_code": "985807703",
            "telephone_number": "253-968-2357",
            "fax_number": "253-968-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDIAL CENTER",
            "address_2": "9040A FITZSIMMONS AVE; C/O VASCULAR CLINIC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-2357",
            "fax_number": "253-968-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDOWSKI",
        "first_name": "MARY ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RN00130116",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "WA",
            "license": "RN00130116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ANNE",
            "last_name": "LANDOWSKI",
            "middle_name": "ELIZABETH",
            "credential": "RN, MSN, CWCN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.