Individual provider Active NPI

Paula A Lantsberger, MD MPH

  • Occupational Medicine Physician
  • Spokane, WA
National Provider Identifier
1861420275
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
MD00024148 Issued in WA
Practice address
316 W Boone Ave Ste 268
Spokane, WA 99201-2346
Phone
(509) 993-4714
Fax
(509) 537-0485
NPI assigned
Jun 28, 2006
Last updated
Jan 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X WA00024148 WA
Occupational Medicine Physician 2083X0100X MD00024148 WA Primary

Addresses

Primary practice location

316 W Boone Ave Ste 268
Spokane, WA 99201-2346

Mailing address

316 W Boone Ave Ste 268
Spokane, WA 99201-2346
Phone (509) 993-4714

Other identifiers 2

IdentifierTypeStateIssuer
416671OtherWAWASHINGTON STATE LABOR AND INDUSTRIES
8152258MedicaidWA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000791 WA Practitioner - Preventive Medicine 3870658420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
WA00024148WAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Oct 14, 2019 Accepting new patients
Multicare Health System Current Accepting new patients
Paula Lantsberger MD PLLC CurrentSince Jun 26, 2022 Accepting new patients
Multicare Health System CurrentSince Oct 14, 2019 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

316 W Boone Ave
Ste 268
Spokane, WA 99201
Phone (509) 993-4714

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1861420275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 268",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012346",
            "telephone_number": "509-993-4714",
            "fax_number": "509-537-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 268",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012346",
            "telephone_number": "509-993-4714",
            "fax_number": "509-537-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTSBERGER",
        "first_name": "PAULA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WA",
            "license": "WA00024148",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WA",
            "license": "MD00024148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LABOR AND INDUSTRIES",
            "identifier": "416671",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8152258",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.