Peninsula Dermatology & Laser Clinic PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PENINSULA DERMATOLOGY & LASER CLINIC PLLC

Practice address

4700 Point Fosdick Dr Ste 219
Gig Harbor, WA 98335-1706

Phone

(253) 851-7733

Fax

(253) 514-6320

NPI assigned

Apr 16, 2025

Last updated

Apr 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerri L Robbins, MDNPI 1831333749

Title

Owner

Phone

(253) 851-7733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerri L Robbins, MD

  • MOHS-Micrographic Surgery Physician
  • Gig Harbor, WA
  • NPI 1831333749
  Medicare reassignment NPD Authorized official
• Donella S Curcio, PAC

  • Physician Assistant
  • Silverdale, WA
  • NPI 1831168590
  NPD (past)
• Angela L Ladenburg, ARNP

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1508048182

  Dermatology

  NPD (past)
• Philip M McLain, MD

  • Dermatology Physician
  • Gig Harbor, WA
  • NPI 1912384710
  NPD (past)
• Jessica A Neal

  • Nurse Practitioner
  • Gig Harbor, WA
  • NPI 1710314034
  NPD (past)
• Michael Mark Nelson, M.D.

  • Dermatology Physician
  • Gig Harbor, WA
  • NPI 1093765034
  NPD (past)
• Eric O Rasmussen, MD

  • Dermatology Physician
  • Silverdale, WA
  • NPI 1467423376
  NPD (past)
• Lisa Rehberger, MSN, ARNP

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1255674917
  NPD (past)
• Lauren Gene Williams, FNP

  • Nurse Practitioner
  • Salem, OR
  • NPI 1225532211
  NPD (past)

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1659167674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 219",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-7733",
            "fax_number": "253-514-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 219",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-7733",
            "fax_number": "253-514-6320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 NW Anderson Hill Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983839161",
            "country_code": "US",
            "telephone_number": "360-698-6859",
            "fax_number": "360-337-7403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4707 S 19th St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051151",
            "country_code": "US",
            "telephone_number": "253-752-2273",
            "fax_number": "253-759-0914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENINSULA DERMATOLOGY & LASER CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-851-7733",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Audiology & Hearing AIDS, P.S.
• Peninsula Community Health Services
• Peninsula Community Health Services
• Peninsula Community Health Services
• Peninsula Counseling, LLC (Peninsula Counseling)
• Peninsula Family Medical Center
• Peninsula Hearing Tech (Peninsula Audiology and Hearing Aids)
• Peninsula Internal Medicine Associates PS
• Peninsula Natural Health Clinic, Inc. (Peninsula Naturopathic Clinic)
• Peninsula Pediatric Therapy, LLC (Peninsula Pediatric Therapy)

• Dermatology Physician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.