Individual provider Active NPI

Sylvia Gonzales Lagdan, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1508812041
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30006715 Issued in WA
Practice address
3711 Pacific Ave
Suite 301
Tacoma, WA 98418-7800
Phone
(253) 475-7333
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30006715 WA Primary

Addresses

Primary practice location

3711 Pacific Ave
Suite 301
Tacoma, WA 98418-7800

Mailing address

7414 91St Ave SW
Lakewood, WA 98498-3939
Phone (253) 584-3274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000293 WA Practitioner - Nurse Practitioner 3870568447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30006715WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvia G Lagdan MN Arnp BC PLLC CurrentSince Jun 21, 2004 Accepting new patients
Alliance for South Sound Health CurrentSince Apr 10, 2020 Accepting new patients

Locations

8407 Steilacoom Blvd SW
Tacoma, WA 98498
Phone (253) 588-2145

3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400

Interoperability endpoints

  • Direct secure messaging: slagden455044@direct.multicare.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1508812041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 91ST AVE SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984983939",
            "telephone_number": "253-584-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 PACIFIC AVE",
            "address_2": "SUITE 301",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187800",
            "telephone_number": "253-475-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGDAN",
        "first_name": "SYLVIA",
        "middle_name": "GONZALES",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30006715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.