NPIMap

Organization Active NPI

VA

  • General Acute Care Hospital
  • Puyallup, WA
National Provider Identifier
1487840146
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
RN00163709 Issued in WA
Legal business name
VA
Practice address
13119 149TH St E
Puyallup, WA 98374-9487
Phone
(253) 686-7017
NPI assigned
Sep 17, 2007
Last updated
Sep 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Patrick Carroll KusanderNPI 1356537013
Title
RN
Phone
(253) 686-7017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X RN00163709 WA Primary

Addresses

Primary practice location

13119 149TH St E
Puyallup, WA 98374-9487

Mailing address

13119 149TH St E
Puyallup, WA 98374-9487

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1487840146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13119 149TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13119 149TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749487",
            "telephone_number": "253-686-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "KUSANDER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "253-686-7017"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "RN00163709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.