NPIMap

Organization Active NPI

Medison LLC

  • Registered Nurse
  • Lacey, WA
National Provider Identifier
1841014404
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
MEDISON LLC
Practice address
1420 Noble Firs CT SE
Lacey, WA 98503-8620
Phone
(360) 706-7683
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Gilbert KorirNPI 1578384319
Title
Director
Phone
(360) 706-7683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

1420 Noble Firs CT SE
Lacey, WA 98503-8620

Mailing address

1420 Noble Firs CT SE
Lacey, WA 98503-8620
Phone (360) 706-7683

Other names 1

  • Medison Home Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1841014404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NOBLE FIRS CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985038620",
            "telephone_number": "360-706-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 NOBLE FIRS CT SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985038620",
            "telephone_number": "360-706-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-12-03",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "KORIR",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-706-7683"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medison Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medison Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.