Cardinal Clinic PS

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CARDINAL CLINIC PS

Practice address

8909 Gravelly Lake Dr SW Ste E
Lakewood, WA 98499-3101

Phone

(253) 625-7274

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Katy Palmer, NURSE PRACTITIONER

Title

Owner

Phone

(206) 658-3366

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1326708603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 GRAVELLY LAKE DR SW STE E",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993101",
            "telephone_number": "253-625-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 GRAVELLY LAKE DR SW STE E",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993101",
            "telephone_number": "253-625-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-658-3366",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Carasone, LPN
• Jessica Caraulia
• Bryan J Carbullido, AA
• Terri Lee Card, MA IN COUNSELING
• Layla B Cardenas, CO60593887
• Care Home at the Meadows
• Halley Care
• Amor G Carethers, RN
• Anna Cargile
• Lynda Lee Carlisle, MD

• Nurse Practitioner in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.