Amber Jean Mitchell- Ledesma

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

VA00058119 Issued in WA

Practice address

21615 Pacific Hwy S
Des Moines, WA 98198-7703

Phone

(206) 878-4627

NPI assigned

Dec 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amber Jean Day Former name

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1316925241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21615 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987703",
            "telephone_number": "253-431-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21615 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981987703",
            "telephone_number": "206-878-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL- LEDESMA",
        "first_name": "AMBER",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA00058119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DAY",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaclyn Deanna Milewski, PTA
• Claire M Miller, MD
• Anne Minford, PTA
• Michaella-Lyanne T Misko, LMP
• George Duro Miskovic, D.C.
• Sin Tim Mok
• Eduardo David Mondragon M, DDS
• Megan Monroe
• Margaret A Morgan, MA,ABS
• Ashley Paige Morina, PT, DPT

• Pharmacy Technician in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Pharmacy Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.