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Department of Veterans Affairs

Organization Active NPI Specialist · Spokane, WA

NPI 1992376958 · NPPES record last updated Jul 9, 2021

Key facts

NPI
1992376958
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
DEPARTMENT OF VETERANS AFFAIRS
Practice address
504 E 2ND Ave
Spokane, WA 99202
Phone
(509) 822-8552
Fax
(509) 462-2503
NPI assigned
Jul 9, 2021
Organization subpart
No

Authorized official

Name
Mrs. Laurissa Deanne Woerdeman
Title
Hud - Vash Case Manager
Phone
(509) 822-8552

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Spokane Vamc (14 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP		 174400000X Yes

Addresses

Primary practice location

504 E 2ND Ave
Spokane, WA 99202

Mailing address

504 E 2ND Ave
Spokane, WA 99202
Phone (509) 822-8552

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2021.

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1992376958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-822-8552",
            "fax_number": "509-462-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E 2ND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-822-8552",
            "fax_number": "509-462-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "WOERDEMAN",
        "authorized_official_first_name": "LAURISSA",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "HUD - VASH CASE MANAGER",
        "authorized_official_telephone_number": "509-822-8552",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

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Sources for this page

Verify at the official NPI Registry.