Lisa Diane Nightingale, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DE60445656 Issued in WA

Practice address

2214 Brookdale Rd E Apt C203
Tacoma, WA 98445-6931

Phone

(614) 946-5756

NPI assigned

Mar 28, 2014

Last updated

Mar 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1942628821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 BROOKDALE RD E APT C203",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984456931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 BROOKDALE RD E APT C203",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984456931",
            "telephone_number": "614-946-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGHTINGALE",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60445656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodger D Niemi, D.C.
• Carole Christine Niemuth, MSN-RN
• Kristine Gail Rivera Nieves, COTA/L
• Rachel Niez, PT
• Nicole Cecilia Night
• Sonja Nikiema
• Alyse Nikolao, FNP, CNM
• Joseph Nikolao
• Soimavi M Nikolao
• Alison Niles, MS, OTR/L

• Dentist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.