Atomic Dermatology LLC
NPI 1770009706ActiveOrganization· Nurse Practitioner· Pasco, WA
Nurse Practitioner in Pasco, Washington, registered in NPPES in August 2017. The authorized official on file is Vicki Haines, DCNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770009706 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2017 |
| Last updated in NPPES | Jan 9, 2023 |
| Certified by provider | Jan 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP60211812 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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