Marie Louise Hershfield, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

60803173 Issued in WA

Practice address

4812 21St Ave SE
Lacey, WA 98503-7029

Phone

(715) 697-0884

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Marie Louise Gundrum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437674033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 21ST AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037029",
            "telephone_number": "715-697-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 21ST AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037029",
            "telephone_number": "715-697-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHFIELD",
        "first_name": "MARIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60803173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069994",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "GUNDRUM",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Delores Herrera
• Thomas J Herrick, DDS
• Rosalind Latrice Herrington-Moxon
• Kaitlyn Paige Herrmann, PA
• Sarah Hershberger, CBT
• Frank Hesketh, M.A., LMHC
• Amber Hetland-Reimann
• Jonathon A Hew Len
• HGM Wellness PLLC
• Kerry Hickethier, PTA, ATC

• Registered Nurse in Lacey, WA
• Providers in Lacey, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.