Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonette Manigsaca

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1609610484

Antonette Manigsaca is a Nurse Practitioner in Lacey, Washington. Qualified in 2024, 2 years ago. Practices with Vest Thurston LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2024
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Practice location Address checks out

605 Woodland Square Loop SE
Lacey, WA 98503-1045
Phone: (360) 764-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61616863 (WA)

Record details

NPI number1609610484
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing address605 Woodland Square Loop Se, Lacey, WA 98503-1045

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Vest Thurston Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lacey