True Dermatology, PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

TRUE DERMATOLOGY, PLLC

Practice address

7101 W Hood PL Ste A101
Kennewick, WA 99336-6720

Phone

(509) 581-3100

Fax

(509) 436-1948

NPI assigned

Jun 21, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Lemire, PA10004052NPI 1740323997

Title

PA-C

Phone

(509) 438-0295

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassandra Elizabeth Fancher, ARNP

  • Nurse Practitioner
  • Kennewick, WA
  • NPI 1962248575
  Medicare reassignment NPD
• Stacey S Lemire, PA-C

  • Medical Physician Assistant
  • Kennewick, WA
  • NPI 1740323997
  NPD Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1841034055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 W HOOD PL STE A101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366720",
            "telephone_number": "509-581-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W HOOD PL STE A101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366720",
            "telephone_number": "509-581-3100",
            "fax_number": "509-436-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "LEMIRE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "509-438-0295",
        "authorized_official_credential": "PA10004052"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-City Spine and Sport
• Tricity Injury Clinic PLLC
• Sittilerk Trikalsaransukh, M.D.
• Tasha Joyce Marie Trimble, LPN
• Alyssa Trout
• Mary Trukositz, LMHC, CDP
• Trusted Hands Comfort Care LLC
• Else Trygstad-Burke
• Matthew J Tulloch, L.M.P.
• Chelsea Turner

• Medical Physician Assistant in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.