Desiree Michelle Delmark, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60135330 Issued in WA

Practice address

33811 9TH Ave S
Federal Way, WA 98003-6707

Phone

(253) 533-9050

Fax

(253) 517-7706

NPI assigned

Sep 13, 2016

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

Other names 1

• Desiree Michelle Moats Former name

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": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1801344353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SHERMAN ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025449",
            "telephone_number": "360-970-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33811 9TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036707",
            "telephone_number": "253-533-9050",
            "fax_number": "253-517-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMARK",
        "first_name": "DESIREE",
        "middle_name": "MICHELLE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60135330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "MOATS",
            "middle_name": "MICHELLE",
            "credential": "CNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Dehaan, MD
• Ryan Delacruz
• Irina V Delahut
• Abigail Deland, LMP
• Francesca L Dellamaggiore
• Catherine Delostrinos, M.D.
• Donald R Dematteis, DDS, MS
• Erica Demeerleer, RN
• Yemisirach Demissie
• Denali Care Services

• Licensed Practical Nurse in Federal Way, WA
• Providers in Federal Way, 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 Sep 13, 2016; 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.