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Stacy Ann Reddington , LPN

Licensed Practical Nurse β€’ Vancouver, WA

Active NPI 1437663903 Individual Practitioner Female Practitioner
Practice location in NPPES

2621 Ne 134th St
Vancouver, WA 986863036

Call 3605040122 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2621 Ne 134th St

Vancouver, WA 986863036

Telephone 3605040122
Fax 3608591354
Organization at the Same NPPES Address or Phone
Aura Acupuncture Llc Facility NPI 1497913198

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Vancouver and Washington

100 active clinicians are listed under Licensed Practical Nurse with a practice address in Vancouver, WA (1,691 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Vancouver

0% of these 100 clinicians have the CMS telehealth indicator.

0% of these 100 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-17
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES WA LPN60494766

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Jordan Fukumoto

Physical Therapist - Orthopedic

NPI 1457871493
Dr. Craig Thompson , MD

Preventive Medicine - Occupational Medicine

NPI 1457485609

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 17, 2024

Registered at 2621 NE 134TH ST, VANCOUVER, WA 986863036 (Tel: 3605040122)

πŸ“
Updated Business Mailing Address October 17, 2024

Registered at 2621 NE 134TH ST, VANCOUVER, WA 986863036 (Tel: 3605040122)

πŸ‘€
Provider Name / Credentials Updated October 17, 2024

Recorded as STACY REDDINGTON, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2024

Licensed Practical Nurse (license number reported to NPPES: WA LPN60494766)

βœ…
NPI Profile Active November 20, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 20, 2017

Registered at 2715 LILAC ST, LONGVIEW, WA 986323526 (Tel: 3605757676)

πŸ“
Business Mailing Address (Initial Record) November 20, 2017

Registered at 2715 LILAC ST, LONGVIEW, WA 986323526 (Tel: 3605757676)

πŸ‘€
Provider Name / Credentials (Initial Record) November 20, 2017

Recorded as STACY HUTTON, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Registered Nurse (license number reported to NPPES: WA LP60494766)

🟒
Initial NPI Registration & Enumeration November 20, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1437663903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2017
Last Update: October 17, 2024
Sole Proprietor: Yes

Mailing Address

2621 Ne 134th St

Vancouver, WA 986863036

Phone: 3605040122

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.