Courtney Elise Dennis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

60598486 Issued in WA

Practice address

10507 156TH St E Ste 112
Puyallup, WA 98374-9361

Phone

(253) 477-5053

NPI assigned

Jul 11, 2017

Last updated

Jul 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1750803755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 156TH ST E STE 112",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983749361",
            "telephone_number": "253-477-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "COURTNEY",
        "middle_name": "ELISE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "60598486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Delaney
• Joann M Delvecchio, OTR
• Dembad, Inc (Visiting Angels Puyallup)
• Alison Demiero, RN, ARNP
• Dennis Tran DDS PLLC
• Pamela Denny
• Dental Professionals of Washington Quirt Mongrain Gibree PC (Longston Place Dental)
• Dental Professionals of Washington, Quirt, Mongrain, Gibree, PC (Dental Care of South Puyallup)
• Elizabeth Nicole Deonigi, AGNP
• Cynthia K Desmond, ARNP

• Licensed Practical Nurse in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.