PNW Mobile Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PNW MOBILE CLINIC

Practice address

8001 Shadywood LN SW
Lakewood, WA 98498-5425

Phone

(719) 201-7044

Fax

(719) 201-7044

NPI assigned

Oct 2, 2025

Organization subpart

No

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

Authorized official

Name

Laisa RozulNPI 1235903592

Title

Owner

Phone

(719) 201-7044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laisa Rozul, FNP

  • Family Nurse Practitioner
  • Lakewood, WA
  • NPI 1235903592
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1578437471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 SHADYWOOD LN SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984985425",
            "telephone_number": "719-201-7044",
            "fax_number": "719-201-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 SHADYWOOD LN SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984985425",
            "telephone_number": "719-201-7044",
            "fax_number": "719-201-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW MOBILE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "ROZUL",
        "authorized_official_first_name": "LAISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-201-7044"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plancich Dental, PLLC (Lakes Dentistry)
• Bryce Jeffrey Plancich, DDS
• Jasmine Sunshine Daydream Plaster, SP61230270
• Wendy Susan Platzer, MS, OT/L
• Vita Sari Pliskow, MD
• Nikhila Pokkuluri
• Jenna Poland
• Pietro M Poletti, MD
• Alison N Polwarth, DDS
• Edson Gerry Ponraj, MD

• Family Nurse Practitioner in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.