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Active NPI 1679341762 Individual Practitioner Female Practitioner

Kimmisha Jackson Royal

Licensed Practical Nurse • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Kimmisha Jackson Royal is a registered healthcare professional specializing in Licensed Practical Nurse in Tacoma, WA. Practice services are available at 9600 VETERANS DR SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9600 Veterans Dr Sw

Tacoma, WA 984936638

Telephone 2535828440
Fax 2535894143
Associated Practice Facility / Clinic
🏢 Seattle Vamc Facility NPI 1790733285

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Tacoma, WA

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

Practicing in Tacoma, 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

CMS Verified: 2023-12-18
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA 61492022

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

40 Associated Practitioners
Morgan Burdick , MSW, MSN, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003650946

Master of Social Work, Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner

Dr. Robin Ferguson , PhD

Psychologist - Clinical

NPI 1013216084

Doctor of Philosophy (Ph.D.)

Lindsay Johnson , MA CLVT, CVRT

Specialist/Technologist - Rehabilitation, Blind

NPI 1013572130

MACLVT, CVRT

Donna Ayers , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1023115359
Margaret Gram , PA-C

Physician Assistant - Medical

NPI 1023227972

Physician Assistant (Certified)

Dr. Heidi Clay , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1043223472

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2023

Registered at 9600 VETERANS DR SW, TACOMA, WA 984936638 (Tel: 2535828440)

📍
Updated Business Mailing Address December 18, 2023

Registered at 9712 18TH AVENUE CT S APT R14, TACOMA, WA 984446638 (Tel: 2533557097)

👤
Provider Name / Credentials Updated December 18, 2023

Recorded as KIMMISHA JACKSON ROYAL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2023

Licensed Practical Nurse (License #61492022 in WA)

🟢
Initial NPI Registration & Enumeration December 18, 2023

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: 1679341762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2023
Last Update: December 18, 2023
Sole Proprietor: No

Mailing Address

9712 18th Avenue Ct S Apt R14

Tacoma, WA 984446638

Phone: 2533557097

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.