Jose Davod Picart III

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

162709 Issued in TX

Practice address

11582 C Street
Joint Base Lewis-McChord, WA 98433

Phone

(253) 966-7572

NPI assigned

Apr 29, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1497100234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 MILLER DR",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279038",
            "telephone_number": "253-444-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11582 C STREET",
            "city": "JOINT BASE LEWIS-MCCHORD",
            "state": "WA",
            "postal_code": "98433",
            "telephone_number": "253-966-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICART",
        "first_name": "JOSE",
        "middle_name": "DAVOD",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "162709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Leigh Bowyer Paul, MD
• Chanel Pedersen
• Emily Phelan, DDS
• Shauna C Phipps, R.D.
• Steven Minh Phung, DMD
• Kellie Lynn Piles
• John Anthony Poglodzinski
• Lauren Powers, ATC, SCAT
• Beau Prey
• Boonkit Purt, MD

• Licensed Practical Nurse in Joint Base Lewis-McChord, WA
• Providers in Joint Base Lewis-McChord, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.