Liesel Tower, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP60740474 Issued in WA

Practice address

1785 Blacktail LN
Woodland, WA 98674-9108

Phone

(269) 547-8704

NPI assigned

Feb 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Medtriq LLC

  • Primary Care Clinic/Center
  • University Place, WA
  • NPI 1841605524
  Medicare reassignment NPD
• Urgent Medical Center PS

  • Family Medicine Physician
  • Vancouver, WA
  • NPI 1740321553
  NPD

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1881053320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 BLACKTAIL LN",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986749108",
            "telephone_number": "269-547-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 BLACKTAIL LN",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986749108",
            "telephone_number": "269-547-8704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10373 NE Hancock St Ste 125",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972203873",
            "country_code": "US",
            "telephone_number": "503-253-6754",
            "fax_number": "503-253-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWER",
        "first_name": "LIESEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60740474",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201803013NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rena M Thompson, LMP
• Timothy Hamn (Timothy Hamn, NP, FNPBC, FNPC, CWS)
• TLC Wheelchair Services Inc
• Victoria Dawn Tooley, MA 60459306
• Total Renal Care Inc (Cowlitz Dialysis)
• Jennifer Tran, O.D.
• Transvision Eyecare PLLC
• Mia Nicole Treasure, LMP
• Luke Trembley, RD, CD, IBCLC
• Alexandra Van Hook

• Adult Health Nurse Practitioner in Woodland, WA
• Providers in Woodland, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.