Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Hogue Lacanlale, DNP-FNP

Individual provider Family Nurse Practitioner · NPI 1528417052

Samantha Hogue Lacanlale, DNP-FNP is a Nurse Practitioner in Olympia, Washington. Qualified in 2016, 10 years ago. Practices with Providence Health and Services Washington, a 480-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2016
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Practice location Address checks out

1620 Cooper Point Rd SW Pmg SW Wa W Olympia Fam Med
Olympia, WA 98502-5736
Phone: (360) 486-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP60667630 (WA)

Record details

NPI number1528417052
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP-FNP
Sole proprietorNo
NPI enumeratedJune 6, 2016
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Washington — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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