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Active NPI 1124536305 Individual Practitioner Male Practitioner

Richard Isaac Davidson , LPN

Licensed Practical Nurse • Des Moines, WA

Professional Overview & Biography Verified Profile Summary

Richard Davidson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Des Moines, WA. Practice services are available at 22447 24TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22447 24th Ave S

Des Moines, WA 981987103

Telephone 2066314400
Associated Practice Facility / Clinic
🏢 Highline School District Facility NPI 1710099478

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Des Moines, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Des Moines, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP60598660

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2018

Registered at 22447 24TH AVE S, DES MOINES, WA 981987103 (Tel: 2066314400)

📍
Updated Business Mailing Address January 22, 2018

Registered at 15675 AMBAUM BLVD SW, BURIEN, WA 981662523 (Tel: 2066313011)

👤
Provider Name / Credentials Updated January 22, 2018

Recorded as RICHARD DAVIDSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2018

Licensed Practical Nurse (License #LP60598660 in WA)

🟢
Initial NPI Registration & Enumeration January 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124536305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2018
Last Update: January 22, 2018
Sole Proprietor: No

Mailing Address

15675 Ambaum Blvd Sw

Burien, WA 981662523

Phone: 2066313011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.