Active NPI
Lourdes Medical Center
- Registered Dietitian
- Pasco, WA
National Provider Identifier
1578013736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LOURDES MEDICAL CENTER
- Practice address
- 520 N 4TH Ave
Pasco, WA 99301-5257 - Phone
- (509) 542-3052
- Fax
- (519) 542-3053
- NPI assigned
- Oct 11, 2016
- Last updated
- Oct 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Serle
- Title
- Ceo
- Phone
- (509) 547-7704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
520 N 4TH Ave
Pasco, WA 99301-5257
Mailing address
520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 542-3052
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476144000000",
"number": "1578013736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N 4TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993015257",
"telephone_number": "509-542-3052",
"fax_number": "519-542-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 4TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993015257",
"telephone_number": "509-542-3052",
"fax_number": "519-542-3053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOURDES MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-11",
"status": "A",
"authorized_official_last_name": "SERLE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "509-547-7704"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
- Lourdes Hospital LLC
- Lourdes Hospital LLC (Lourdes Medical Center)
- Lourdes Hospital LLC (Lourdes Medical Center Pharmacy)
- Lourdes Hospital LLC (Lourdes Medical Center)
- Lourdes Medical Center
- Lourdes Occupational Health
- Lourdes Occupational Health Center
- Lourdes Occupational Health Center
- Lourdes Occupational Health Center
- Lourdes West Pasco Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.