Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS BLAINE NOMURA LAUDERDALE MS
NPI 1982172086
Counselor - Mental Health in Deer Park, WA

Q: What is Nicholas Lauderdale's NPI number?

The NPI number for Nicholas Lauderdale is 1982172086. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Q: What is Nicholas Lauderdale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since November 06, 2018

1538 E B ST, DEER PARK, WA 99006(509) 638-8478(509) 606-3013 Get Directions Write a Review

NPPES record last updated: July 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2026, Jan 10, 2023, May 10, 2022 and 2 more (5 updates tracked since 2018).

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About Nicholas Blaine Nomura Lauderdale Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS BLAINE NOMURA LAUDERDALE MS (NPI 1982172086) is an individual mental health provider in Deer Park, Washington, licensed in Washington (LH61295887) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1982172086

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameNICHOLAS BLAINE NOMURA LAUDERDALECredential: MS

Location Address1538 E B STDeer Park, WA 99006-5609

Mailing Address1538 E B StDeer Park, WA 99006-5609 · (509) 714-3067 · Fax (509) 606-3013

Phone(509) 638-8478

Fax(509) 606-3013

Sole ProprietorYes

Enumeration DateNovember 6, 2018

Last NPPES UpdateJuly 26, 20265 updates tracked since enumeration

NPPES CertifiedJuly 26, 2026

✔ NPI 1982172086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · LH61295887

1538 E B ST, Deer Park, WA 99006

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Lauderdale's NPI number?

The NPI number for Nicholas Lauderdale is 1982172086. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Nicholas Lauderdale located?

Nicholas Lauderdale practices at 1538 E B St, Deer Park, WA 99006. The listed phone number is (509) 638-8478.

What is Nicholas Lauderdale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Nicholas Lauderdale accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicholas Lauderdale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Lauderdale was last updated on July 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.