Pamalla Ann Stockho, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60270264 Issued in WA

Practice address

5700 100TH St SW
Lakewood, WA 98499-2752

Phone

(253) 584-2119

NPI assigned

Aug 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Pamalla Manz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Multicare Health System

  dba Auburn MultiCare Clinic

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1013969195

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1700192150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992752",
            "telephone_number": "253-584-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992752",
            "telephone_number": "253-584-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKHO",
        "first_name": "PAMALLA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60270264",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "WA",
            "license": "AP60270264",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60270264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60270264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMALLA",
            "last_name": "MANZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anissa Steverson
• Jaimie Alice Stewart, BA,CDP
• Tammy Marie Stewart, BA
• Carol Stieper, MA
• Heather Ann Stockho, LPN
• Katherine J Stockly, BA
• Gretchen Justine Stockman, LMFT
• Alexander Karst Stoker, MA
• Teauna Stokes
• Tesia Elizabeth Stokes, SUDPT

• 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 Jan 24, 2014; 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.