Jonathan Raffesberger, DNP, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60889606 Issued in WA

Practice address

1201 Pacific Ave Ste 400
Tacoma, WA 98402-4381

Phone

(253) 203-3131

NPI assigned

Sep 10, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1538642137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 146TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983755001",
            "telephone_number": "608-512-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PACIFIC AVE STE 400",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024381",
            "telephone_number": "253-203-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFESBERGER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60889606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2122662",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Radonski, RN
• Jessica Elizabeth Hagel Radosavljevic, PHARMD.
• Shannon Rae, LMFT
• Michael L Raff, M.D.
• Kai A Raffaele
• Thomas J Rafoth, M.D.
• Latecia Aleah Ragland
• Valeriya Ragozina
• Susan Rahman, PH.D.
• Carla Renee Rahming

• 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 Mar 18, 2021; 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.