Active NPI
Lucinda Alpert Grande, MD
- Family Medicine Physician
- Lacey, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00048881
- Practice address
- 5130 Corporate Center CT SE
Pioneer Family Practice
Lacey, WA 98503-5957 - Phone
- (360) 413-8610
- Fax
- (360) 413-8822
- NPI assigned
- Aug 30, 2006
- Last updated
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00048881 | WA | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | MD00048881 | WA |
Addresses
Primary practice location
5130 Corporate Center CT SE
Pioneer Family Practice
Lacey, WA 98503-5957
Mailing address
5130 Corporate Center CT SE
Pioneer Family Practice
Lacey, WA 98503-5957
Phone (360) 413-8610
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3920 Capital Mall Dr SW
Suite 200
Olympia, WA 98502-8701
Phone (360) 459-7282
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00048881 | WA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Family Practice, PLLC | Family Medicine | Current | Accepting new patients |
| Capital Medical Center Physicians LLC | Family Medicine | Current | Accepting new patients |
| Capital Medical Center Physicians LLC | Current | Accepting new patients | |
| Olympia Family Medicine, Inc. | Family Medicine | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
5130 Corporate Center Ct SE
Lacey, WA 98503
Phone (360) 413-8600
3920 Capital Mall Dr SW
Ste 200
Olympia, WA 98502
Phone (360) 459-7282
413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCCGAA
Organizations & group practices 5
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.
-
dba Olympia Family Medicine
- Family Medicine Physician
- Olympia, WA
- NPI 1629214283
-
- Family Medicine Physician
- Lacey, WA
- NPI 1205965365
-
dba Montesano Internal Medicine by MultiCare
- Internal Medicine Physician
- Montesano, WA
- NPI 1710744792
-
- Family Medicine Physician
- Olympia, WA
- NPI 1023201126
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
dba MultiCare Capital Medical Center
- General Acute Care Hospital
- Olympia, WA
- NPI 1841258639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1982714317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 CORPORATE CENTER CT SE",
"address_2": "PIONEER FAMILY PRACTICE",
"city": "LACEY",
"state": "WA",
"postal_code": "985035957",
"telephone_number": "360-413-8610",
"fax_number": "360-413-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 CORPORATE CENTER CT SE",
"address_2": "PIONEER FAMILY PRACTICE",
"city": "LACEY",
"state": "WA",
"postal_code": "985035957",
"telephone_number": "360-413-8610",
"fax_number": "360-413-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDE",
"first_name": "LUCINDA",
"middle_name": "ALPERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00048881",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "WA",
"license": "MD00048881",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.