Individual provider Active NPI

Ann Christine Uppenberg-Liedtke, ARNP

  • Acute Care Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1831285527
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP30003892 Issued in WA
Practice address
Puget Sound Health Care Systems, American Lake
9600 Veterans Drive
Tacoma, WA 98493
Phone
(253) 582-8440
Fax
(253) 583-4045
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP30003892 WA Primary

Addresses

Primary practice location

Puget Sound Health Care Systems, American Lake
9600 Veterans Drive
Tacoma, WA 98493

Mailing address

6517 80TH St. S.W.
Lakewood, WA 98499
Phone (253) 582-4108

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP30003892WAMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831285527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 80TH ST. S.W.",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-582-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PUGET SOUND HEALTH CARE SYSTEMS, AMERICAN LAKE",
            "address_2": "9600 VETERANS DRIVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98493",
            "telephone_number": "253-582-8440",
            "fax_number": "253-583-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPENBERG-LIEDTKE",
        "first_name": "ANN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP30003892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • 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.