Leanne Vanessa Lamb, MSN, RN, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61624561 Issued in WA

Practice address

1427 Jefferson Ave Ste 101
Enumclaw, WA 98022-3649

Phone

(360) 262-7660

NPI assigned

Nov 4, 2024

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 1

Other names 1

• Lean Vanessa Tuvera Ridao Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Nose Throat Facial Plastic Surgery and Allergy of Western WaGroup PAC ID 5395842686, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Ear Nose Throat Facial Plastic Surgery and Allergy of Western Wa

  • Otolaryngology/Facial Plastic Surgery Physician
  • Enumclaw, WA
  • NPI 1346493806
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1831912237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18724 128TH ST E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916186",
            "telephone_number": "510-364-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 JEFFERSON AVE STE 101",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980223649",
            "telephone_number": "360-262-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18320 WA-410 E",
            "address_purpose": "LOCATION",
            "city": "Bonney Lake",
            "state": "WA",
            "postal_code": "98391",
            "country_code": "US",
            "telephone_number": "253-750-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMB",
        "first_name": "LEANNE",
        "middle_name": "VANESSA",
        "credential": "MSN, RN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61624561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DOH ARNP LICENSE",
            "identifier": "AP61624561",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAN VANESSA",
            "last_name": "RIDAO",
            "middle_name": "TUVERA",
            "credential": "MSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Gay Kurz, MA, LMHC
• Jun-Beom Kwon, MD
• Laboratory Corporation of America
• Ann M Lachney, R.D.
• Sarah Ladderud, MSOT
• Terah R Lara, LM, CPM
• Daniel Latorre, MS
• Cassie Lee
• Dana Marie Lee, M.D.
• Sarah Lee

• Nurse Practitioner in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.