Individual provider Active NPI

Emily Tasha Lau, ARNP

  • Acute Care Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1790058774
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP60298283 Issued in WA
Practice address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60281532 WA
Student in an Organized Health Care Education/Training Program 390200000X
Acute Care Nurse Practitioner 363LA2100X AP60298283 WA Primary

Addresses

Primary practice location

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other identifiers 1

IdentifierTypeStateIssuer
2021231MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000670 WA Practitioner - Nurse Practitioner 4880842368 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60298283WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons, Inc., P.S. CurrentSince Apr 18, 2022 Accepting new patients
Radia Imaging Center Holdings LLC CurrentSince Jan 1, 2019 Accepting new patients
Radia Inc P S CurrentSince Jan 9, 2018 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Apr 18, 2022 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC CurrentSince Jan 9, 2018 Accepting new patients
Radia Inc P S CurrentSince Jan 9, 2018 Accepting new patients
Evergreen Radia LLC CurrentSince Jan 9, 2018 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients

Locations (25 of 116)

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

1135 116th Ave NE
Ste 260
Bellevue, WA 98004
Phone (425) 688-0100

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

908 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8507

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

19 N 7th St
Cheney, WA 99004
Phone (509) 235-6151

11245 State Route 525
Clinton, WA 98236
Phone (360) 341-5252

80 N Main St
Coupeville, WA 98239
Phone (360) 378-4424

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

20 E J St
Deer Park, WA 99006
Phone (509) 276-8012

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632

7320 216th St SW
Ste 120
Edmonds, WA 98026
Phone (425) 673-3930

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

3726 Broadway
Ste 201
Everett, WA 98201
Phone (425) 317-9119

12800 Bothell Everett Hwy
Everett, WA 98208
Phone (425) 316-5060

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

1330 Rockefeller Ave
Ste 210
Everett, WA 98201
Phone (425) 261-4940

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

3102 Colby Ave
Everett, WA 98201
Phone (425) 258-8110

1330 Rockefeller Ave
Ste 520
Everett, WA 98201
Phone (425) 297-5200

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

Organizations & group practices 8

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1790058774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "EMILY",
        "middle_name": "TASHA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60281532",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP60298283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021231",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.