Franciscan Health System

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

FRANCISCAN HEALTH SYSTEM

Practice address

11311 Bridgeport Way SW
Suite 300
Lakewood, WA 98499

Phone

(253) 985-6790

Fax

(253) 985-6705

NPI assigned

Jan 26, 2012

Organization subpart

No

Name

Mike Fitzgerald

Title

Cfo

Phone

(253) 680-4005

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trang Le Gagne-Fongemie, PHARMD

  • Pharmacist
  • Lakewood, WA
  • NPI 1467778910
  NPD (past)

Locations

• St Clare Anticoagulation Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2018.

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1285905992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "SUITE 300",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993071",
            "telephone_number": "253-985-6790",
            "fax_number": "253-985-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "SUITE 300",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-985-6790",
            "fax_number": "253-985-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "253-680-4005"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Clare Anticoagulation Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Clare Anticoagulation Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lillian Marie Fraidenburg
• Carol Francis
• Franciscan Compounding Pharmacy St Clare
• Franciscan Health System
• Franciscan Health System
• Franciscan Health System
• Franciscan Health System
• Franciscan Health System
• Franciscan Health System
• Franciscan Medical Group

• All providers in Lakewood, WA
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.