Stacy Lee Reunanen, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH00004007 Issued in WA

Practice address

3815 S 198TH St
Seatac, WA 98188-5450

Phone

(206) 870-9128

NPI assigned

Aug 12, 2007

Last updated

Aug 12, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186876800000",
    "number": "1578755708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 S 198TH ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981885450",
            "telephone_number": "206-870-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 S 198TH ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981885450",
            "telephone_number": "206-870-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUNANEN",
        "first_name": "STACY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-12",
        "last_updated": "2007-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00004007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902077",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Raman
• Trevor Ramkissoon, LMHC
• Geraldine Ramon
• Faten Rashid
• Veronica D Rasmussen, LICSW
• Karl Rafe Riecken, DO
• Kristin Danielle Rivera, LICSW
• Jeffrey Lee Rogge, DC
• Jennifer Roth, RD
• Christina Marie Rothermel, LMP

• Dental Hygienist in Seatac, WA
• Providers in Seatac, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2007; 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.