Active NPI
Denise Anne Ladenburg, ARNP
- Pediatric Nurse Practitioner
- Puyallup, WA
National Provider Identifier
1811901150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP30005642
- Practice address
- 1910 S Meridian
Puyallup, WA 98371-7531 - Phone
- (253) 848-2303
- Fax
- (253) 848-8956
- NPI assigned
- Jul 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP30005642 | WA | Primary |
Addresses
Primary practice location
1910 S Meridian
Puyallup, WA 98371-7531
Mailing address
1910 S Meridian
Puyallup, WA 98371-7531
Phone (253) 848-2303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9633470 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005642 | WA | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- dladenburgarnp281@direct.multicare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1811901150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983717531",
"telephone_number": "253-848-2303",
"fax_number": "253-848-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983717531",
"telephone_number": "253-848-2303",
"fax_number": "253-848-8956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADENBURG",
"first_name": "DENISE",
"middle_name": "ANNE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP30005642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9633470",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.