Pacific Lutheran University

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PACIFIC LUTHERAN UNIVERSITY

Practice address

12108 Pacific Avenue Pacific Lutheran University
East Campus, Suite G-10
Tacoma, WA 98447-0003

Phone

(253) 535-7354

Fax

(253) 535-7071

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ruth M Kohler

Title

Office Manager

Phone

(253) 535-8753

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Ruth Laurine Schaffler, ARNP

  • Family Nurse Practitioner
  • Lacey, WA
  • NPI 1528166683
  NPD (past)
• Linda Katherine Henderson, FNP

  • Family Nurse Practitioner
  • Longmont, CO
  • NPI 1861404063
  NPD (past)
• Jeong J Kim, FNP

  • Family Nurse Practitioner
  • Tripler Army Medical Center, HI
  • NPI 1184652026
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306915053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 PACIFIC AVENUE PACIFIC LUTHERAN UNIVERSITY",
            "address_2": "EAST CAMPUS, SUITE G-10",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984470003",
            "telephone_number": "253-535-7354",
            "fax_number": "253-535-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12108 PACIFIC AVENUE PACIFIC LUTHERAN UNIVERSITY",
            "address_2": "EAST CAMPUS, SUITE G-10",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984470003",
            "telephone_number": "253-535-7354",
            "fax_number": "253-535-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC LUTHERAN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-535-8753",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0115931",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7043656",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE GROUP #",
            "identifier": "AL1346",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Eyecare P.S.
• Pacific General Medical & Emergecy Clinic Inc
• Pacific Hands LLC
• Pacific Lutheran Univeristy Student Health Center
• Pacific Lutheran University
• Pacific Medical Dialysis Services
• Pacific Medical Laboratory Services
• Pacific Medical Specialty on Call Group
• Pacific Medical, Inc.
• Pacific Nephrology Associates, P.S.

• Family Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, 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 Aug 22, 2020; 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.