LACEY BRANTNER ARNP – NPI #1912629601
Nurse Practitioner

LACEY BRANTNER is a nurse practitioner located in PUYALLUP, WA. NPPES has assigned the NPI number 1912629601 to LACEY BRANTNER on September 19, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363LP0200X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Pediatrics

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LACEY BRANTNER below.

NPI Profile for
LACEY BRANTNER

NPI Number
1912629601
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LACEY BRANTNER
Credentials
ARNP
Primary location
11102 SUNRISE BLVD E STE 104
PUYALLUP, WA 98374-8846
Phone: (253) 848-8797 Fax:
Mailing address
17125 140TH AVE E
PUYALLUP, WA 98374-9151
Phone: (253) 579-4532 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 01, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LP0200X
- Nurse Practitioner / Pediatrics (Primary)
WA AP61358655

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.