Active NPI
Laural J Schaberg MSN Arnp PS
- Family Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1598949489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30004746
- Legal business name
- LAURAL J SCHABERG MSN ARNP PS
- Practice address
- 1818 South Union Ave
Suite 2a
Tacoma, WA 98405 - Phone
- (253) 473-7637
- Fax
- (253) 671-8472
- NPI assigned
- Dec 27, 2007
- 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
- Mrs. Laural J Schaberg, ARNP
- Title
- President
- Phone
- (253) 473-7637
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30004746 | WA | Primary |
Addresses
Primary practice location
1818 South Union Ave
Suite 2a
Tacoma, WA 98405
Mailing address
1818 South Union Ave
Suite 2a
Tacoma, WA 98405
Phone (253) 473-7637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9622259 | Medicaid | WA |
Other names 1
- Pacific Northwest Primary Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2607 Bridgeport Way W
Ste 1A
University Place, WA 98466
Phone (253) 473-7637
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- University Place, WA
- NPI 1104814284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198713600000",
"number": "1598949489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 SOUTH UNION AVE",
"address_2": "SUITE 2A",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-473-7637",
"fax_number": "253-671-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 SOUTH UNION AVE",
"address_2": "SUITE 2A",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-473-7637",
"fax_number": "253-671-8472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURAL J SCHABERG MSN ARNP PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A",
"authorized_official_last_name": "SCHABERG",
"authorized_official_first_name": "LAURAL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "253-473-7637",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30004746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9622259",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Northwest Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.