Lisa Patricia Pepperdine, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP30006753 Issued in WA

Practice address

813 Martin Luther King Jr Way
Tacoma, WA 98405-4147

Phone

(253) 779-3900

Fax

(253) 272-2718

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 2007By 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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821176058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15014 STARR RD SE",
            "city": "OLALLA",
            "state": "WA",
            "postal_code": "983599537",
            "telephone_number": "253-853-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054147",
            "telephone_number": "253-779-3900",
            "fax_number": "253-272-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPERDINE",
        "first_name": "LISA",
        "middle_name": "PATRICIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30006753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Patrick Dale Penwell, NREMT
• Peoples Retirement Community, LLP
• Peoples Senior Living, LLC
• Christopher Peoples, M.D.
• Kyle Wayne Peper, RD. LD
• Ann Peppers, ARNP
• Laura Peratino
• Stephanie Lee Perceful, MA
• Perch Behavioral Health
• Vanessa Soledad Perdomo

• Women's Health Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Women's Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.