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Active NPI 1104498906 Individual Practitioner Female Practitioner

Amnesty A Nishiguchi

Peer Specialist • Lacey, WA

Professional Overview & Biography Verified Profile Summary

Amnesty Nishiguchi is a registered healthcare professional specializing in Peer Specialist in Lacey, WA. Practice services are available at 612 WOODLAND SQUARE LOOP SE STE 401 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

612 Woodland Square Loop Se Ste 401

Lacey, WA 985031070

Telephone 3607635796
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Lacey, WA

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

Practicing in Lacey, WA (2660 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

CMS Verified: 2021-07-12
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Heather Gozdzialski

Social Worker

NPI 1093380669
Desirea Mccloud

Peer Specialist

NPI 1225703762
Bobby Hanks

Counselor

NPI 1275206914
Athena Ayres

Peer Specialist

NPI 1316563364
Joshua Santiago

Peer Specialist

NPI 1649842444
Colton Rallo

Social Worker - Clinical

NPI 1740852540

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 12, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2021

Registered at 612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 985031070 (Tel: 3607635796)

📍
Updated Business Mailing Address July 12, 2021

Registered at 612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 985031070 (Tel: 3607635796)

👤
Provider Name / Credentials Updated July 12, 2021

Recorded as AMNESTY NISHIGUCHI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2021

Peer Specialist

🟢
Initial NPI Registration & Enumeration July 12, 2021

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: 1104498906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2021
Last Update: July 12, 2021
Sole Proprietor: No

Mailing Address

612 Woodland Square Loop Se Ste 401

Lacey, WA 985031070

Phone: 3607635796

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.