Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154877645 Individual Practitioner Female Practitioner

Chanel Pedersen

Licensed Practical Nurse • Joint Base Lewis Mcchord, WA

Professional Overview & Biography Verified Profile Summary

Chanel Pedersen is a registered healthcare professional specializing in Licensed Practical Nurse in Joint Base Lewis Mcchord, WA. Practice services are available at 690 BARNES BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

690 Barnes Blvd

Joint Base Lewis Mcchord, WA 984381303

Telephone 2539825603
Associated Practice Facility / Clinic
🏢 Amc Madigan-Ft Lewis Facility NPI 1700048972

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Joint Base Lewis Mcchord, WA

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

Practicing in Joint Base Lewis Mcchord, 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 LP60474414

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
NPI 1013174218

Doctor of Medicine (M.D.)

NPI 1013221175

Doctor of Philosophy (Ph.D.)

Tom Thomas , RN

Registered Nurse

NPI 1063864809

Registered Nurse

Kathleen Greenhalgh , CNM

Nurse Practitioner - Women's Health

NPI 1083600068

Certified Nurse Midwife

Dr. Andrea Charlton , DO

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1093109449

Doctor of Osteopathic Medicine (D.O.)

Jayce Moody

Dental Hygienist

NPI 1093226458

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2016

Registered at 690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 984381303 (Tel: 2539825603)

📍
Updated Business Mailing Address August 25, 2016

Registered at 690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 984381303

👤
Provider Name / Credentials Updated August 25, 2016

Recorded as CHANEL PEDERSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2016

Licensed Practical Nurse (License #LP60474414 in WA)

🟢
Initial NPI Registration & Enumeration August 25, 2016

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: 1154877645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2016
Last Update: August 25, 2016
Sole Proprietor: No

Mailing Address

690 Barnes Blvd

Joint Base Lewis Mcchord, WA 984381303

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.