NURSE PRACTITIONERS NORTHWEST, PLLC (NPI# 1790014223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790014223 |
| Entity Type | Organization |
| Organization Name | NURSE PRACTITIONERS NORTHWEST, PLLC |
| Practice Address |
5115 Beverly Avenue Ne Tacoma WA 98422-1823 |
| Mailing Address |
Po Box 23838 Federal Way WA 98093-0838 |
| Practice Telephone | 2537976239 |
| Practice Fax Number | 2539272119 |
| Mailing Telephone | 2537976239 |
| Mailing Fax Number | 2539272119 |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2010-07-01 |
| Authorized Official Name | MARGARET ELVIRA SACKMANN (OWNER) |
| Authorized Official Telephone | 2537976239 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP30001790 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2005946 | 05 |
| Street Address |
5115 BEVERLY AVENUE NE |
| City | TACOMA |
| State | WA |
| Zip Code | 98422-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650700 | Kristen Michelle O'leary | Student in an Organized Health Care Education/Training Program | 6720 Eastside Drive Ne, Suite 2, Tacoma, WA 98422 | 2017-03-15 |
| 1386989853 | Lori Shelmadine | Occupational Therapist | 5421 21st Ave Ct Ne, Tacoma, WA 98422 | 2012-12-10 |
| 1174787949 | Antonio Marcus Anderson | Pharmacist | 5514 24th Ave Ne, Tacoma, WA 98422 | 2008-07-11 |
| 1407956659 | Scott Barry Finlayson | Massage Therapist | 6720 Eastside Dr Ne, Suite 2, Tacoma, WA 98422 | 2006-09-25 |
| 1669574703 | Leonard Ernest Loflin | Dentist | 4811 Wa Tau Ga Ne, Tacoma, WA 98422 | 2006-09-01 |
| 1114910775 | Daisy Sarama Zachariah | Legal Medicine | 6105 Panorama Dr Ne, Tacoma, WA 98422 | 2005-08-29 |
| 1144312729 | Diana King | Family Medicine | 4215 49th Ave Ne, Tacoma, WA 98422 | 2006-09-29 |
| 1528254547 | Janet E Massey | Physical Therapist | 1422 Beach Dr Ne, Suite 3, Tacoma, WA 98422-1005 | 2007-09-24 |
| 1003240177 | Michael Connolly | Behavioral Analyst | 1826 Markham Ave Ne # B, Tacoma, WA 98422-1015 | 2013-08-26 |
| 1649441031 | The Nw Massage Center, LLC | Massage Therapist | 6716 E Side Dr Ne, Tacoma, WA 98422-1147 | 2008-03-13 |
| Find all providers in zip 98422 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801814579 | Margaret E. Sackmann | Nurse Practitioner | 5115 Beverly Ave Ne, Tacoma, WA 98422-1823 | 2006-07-18 |
| 1881651784 | Shirley Bintliff Cameron | Nurse Practitioner | 8628 S M St, Tacoma, WA 98444-4460 | 2006-04-26 |
| 1649774316 | Ruby Young | Nurse Practitioner | 1201 Pacific Ave Ste 600, Tacoma, WA 98402-4384 | 2018-03-19 |
| 1801332549 | Vladimir Grib | Nurse Practitioner | 1608 S J St, Floor 5, Tacoma, WA 98405-4930 | 2017-01-18 |
| 1215393111 | Catherine Rehberger | Nurse Practitioner | 1802 Yakima Ave, 102, Tacoma, WA 98405-4499 | 2016-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713348 | Terra Ann Mclain | Nurse Practitioner | 2803 Pilot Ln, Yakima, WA 98901-1022 | 2020-02-24 |
| 1437716032 | Julia Yang Chen | Nurse Practitioner | 16831 1st Ave W, Bothell, WA 98012-4961 | 2019-05-20 |
| 1699242651 | Patricia Fay Fitzhugh | Nurse Practitioner | 615 W 16th Ave, Spokane, WA 99203-2130 | 2018-10-29 |
| 1598240657 | Beibei Chen | Nurse Practitioner | 5801 223rd Pl Sw, Mountlake Terrace, WA 98043-3123 | 2018-09-25 |
| 1497203244 | Trina Koudelka | Nurse Practitioner | 3015 Squalicum Pkwy Ste 100, Bellingham, WA 98225-1906 | 2016-09-21 |
| 1255791414 | Quynh-anh Phan | Nurse Practitioner | 801 Sw 150th St Ste 230, Burien, WA 98166-1855 | 2016-03-02 |
| 1467836056 | Horizon Health Foundation | Nurse Practitioner | 123 W. Cascade Way, Spokane, WA 99208 | 2015-07-14 |
| 1578955910 | Esateys Stuchiner | Nurse Practitioner | 19410 Ne 116th St, Brush Prairie, WA 98606-3002 | 2015-02-23 |
| 1619377587 | Phiroce Ishaque, LLC | Nurse Practitioner | 5414 Barnes Ave Nw Ste 1, Seattle, WA 98107-3839 | 2014-08-28 |
| 1700217155 | Elisa Martin | Nurse Practitioner | 6025 Vassar Ave Ne, Seattle, WA 98115-7622 | 2013-12-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.