Angela L Ladenburg, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30007974 Issued in WA

Practice address

4707 S 19TH St Ste 130
Tacoma, WA 98405-1151

Phone

(253) 752-7705

Fax

(253) 752-0113

NPI assigned

Dec 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aladenbury@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eric O Rasmussen

  • Dermatology Physician
  • Gig Harbor, WA
  • NPI 1780782904
  NPD (past)
• Peninsula Dermatology & Laser Clinic PLLC

  • Dermatology Physician
  • Gig Harbor, WA
  • NPI 1659167674
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1508048182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR NW STE 219",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-7733",
            "fax_number": "253-851-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 S 19TH ST STE 130",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051151",
            "telephone_number": "253-752-7705",
            "fax_number": "253-752-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADENBURG",
        "first_name": "ANGELA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "AP30007974",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aladenbury@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "aladenbury@directaddress.net",
            "address_1": "4707 S 19th St Ste 130",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984051151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jyphruz Lacasandile
• Kristin Michelle Lacer, RN, BSN
• Paul James Lackner, AACR
• Barbara J Lacrosse-Young, AT, HIS
• Vernon Wayne Ladd II, PEER RECOVERY COACH
• Cecilia Ladenburg
• Krissy Ladia Villaruz
• Christine Ladish, PHD
• Jennifer Ladzinski
• Michael Kent Laederich, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.