Active NPI
Jamie Dolores Lippiatt
- Registered Nurse
- Tacoma, WA
National Provider Identifier
1689049405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 60446834
- Practice address
- 9040 Reid Street, Attn: MCHJ-CLQ-C
Madigan Army Medical Center
Tacoma, WA 98431-1000 - Phone
- (253) 968-1110
- Fax
- (577) 874-1031
- NPI assigned
- Dec 4, 2015
- Last updated
- Dec 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 60446834 | WA | Primary |
| Registered Nurse | 163W00000X | 785289 | CA | |
| Registered Nurse | 163W00000X | 168374 | AZ | |
| Registered Nurse | 163W00000X | 94938 | OK | |
| Registered Nurse | 163W00000X | 0196516 | CO | |
| Registered Nurse | 163W00000X | 345761 | OH |
Addresses
Primary practice location
9040 Reid Street, Attn: MCHJ-CLQ-C
Madigan Army Medical Center
Tacoma, WA 98431-1000
Mailing address
9040 Reid Street, Attn: MCHJ-CLQ-C
Madigan Army Medical Center
Tacoma, WA 98431-1000
Phone (253) 968-1110
Other names 1
- Jamie D Pawlak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168374 | AZ | MD | Registered Nurse |
| 785289 | CA | MD | Registered Nurse |
| 0196516 | CO | MD | Registered Nurse |
| 345761 | OH | MD | Registered Nurse |
| 94938 | OK | MD | Registered Nurse |
| 60446834 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1689049405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 REID STREET, ATTN: MCHJ-CLQ-C",
"address_2": "MADIGAN ARMY MEDICAL CENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311000",
"telephone_number": "253-968-1110",
"fax_number": "577-874-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 REID STREET, ATTN: MCHJ-CLQ-C",
"address_2": "MADIGAN ARMY MEDICAL CENTER",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311000",
"telephone_number": "253-968-1110",
"fax_number": "577-874-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPIATT",
"first_name": "JAMIE",
"middle_name": "DOLORES",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-04",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "60446834",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "785289",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "168374",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "94938",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "0196516",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "345761",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "PAWLAK",
"middle_name": "D",
"credential": "REGISTERED NURSE",
"code": "5",
"type": "Other Name"
}
]
}
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 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.