Individual provider Active NPI

Paula J Sommerville, D.V.M.

  • Veterinarian
  • Lacey, WA
National Provider Identifier
1487885703
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
VT00004827 Issued in WA
Practice address
5710 Ruddell Rd SE Ste 2
Lacey, WA 98503-6424
Phone
(360) 455-8090
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X VT00004827 WA Primary

Addresses

Primary practice location

5710 Ruddell Rd SE Ste 2
Lacey, WA 98503-6424

Mailing address

5710 Ruddell Rd SE Ste 2
Lacey, WA 98503-6424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VT00004827WAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1487885703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 RUDDELL RD SE STE 2",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 RUDDELL RD SE STE 2",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036424",
            "telephone_number": "360-455-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERVILLE",
        "first_name": "PAULA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WA",
            "license": "VT00004827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.