Lauren Yuckert, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00058964 Issued in WA

Practice address

3800 3Rd St SE
Puyallup, WA 98374-1109

Phone

(253) 200-0415

Fax

(253) 845-4742

NPI assigned

Aug 15, 2018

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Rainier Internal Medicine LLC

  • Primary Care Clinic/Center
  • Lakewood, WA
  • NPI 1972735157
  NPD (past)

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1821578295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39680",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984963680",
            "telephone_number": "253-200-0415",
            "fax_number": "253-845-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 3RD ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741109",
            "telephone_number": "253-200-0415",
            "fax_number": "253-845-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUCKERT",
        "first_name": "LAUREN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00058964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001900",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "G8888029",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Marie Youngquist, LMHCA
• Deborah Yu, DDS
• Edward Jaehun Yu
• Vivian Mae Yu, MD
• Jingqian Yuan
• Jeremy Scott Yuen, PT, DPT
• Wing Ting Yuen, RPH
• Kathleen Yun
• Nurul Farhana Zabidi, PHARMD
• Thomas Zachar

• 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 Aug 15, 2018; 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.