Dispatchhealth Washington PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

DISPATCHHEALTH WASHINGTON PC

Practice address

949 Market St Ste 602
Tacoma, WA 98402-3693

Phone

(253) 271-9720

NPI assigned

Sep 11, 2018

Last updated

Jul 15, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Kramer

Title

Ao

Phone

(215) 813-5940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 181

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina Captain Avery, ARNP

  • Primary Care Nurse Practitioner
  • Spokane Valley, WA
  • NPI 1710440854
  Medicare reassignment Care Compare group NPD
• Marlena Rochelle Benson-Kelsey, NP-C

  • Family Nurse Practitioner
  • Deer Park, WA
  • NPI 1164188587
  Medicare reassignment Care Compare group NPD
• Kimberly Cunningham, ARNP

  • Family Nurse Practitioner
  • Puyallup, WA
  • NPI 1427722966
  Medicare reassignment Care Compare group NPD
• Gabriela Depusoy, ARNP

  • Nurse Practitioner
  • Renton, WA
  • NPI 1215651641
  Medicare reassignment Care Compare group NPD
• Vilma Jeanette Fisher, ARNP

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1346929544
  Medicare reassignment Care Compare group NPD
• Zainab Ali Gaal-Weber, ARNP

  • Nurse Practitioner
  • Kent, WA
  • NPI 1003332974
  Medicare reassignment Care Compare group NPD
• Michelle Christine Jackson, ARNP

  • Nurse Practitioner
  • Bonney Lake, WA
  • NPI 1215558937
  Medicare reassignment Care Compare group NPD
• Shawnna Jackson, RN

  • Nurse Practitioner
  • Auburn, WA
  • NPI 1336866391
  Medicare reassignment Care Compare group NPD
• Andrea Johansen

  • Family Nurse Practitioner
  • Kent, WA
  • NPI 1720764731
  Medicare reassignment Care Compare group NPD
• Keeley Marie Johnson, ARNP

  • Family Nurse Practitioner
  • Spanaway, WA
  • NPI 1730664079
  Medicare reassignment Care Compare group NPD
• Jessy Krallum, FNP-C

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1508498015
  Medicare reassignment Care Compare group NPD
• Wendy Ann Kruse, ARNP

  • Family Nurse Practitioner
  • Olympia, WA
  • NPI 1063188795
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1013490507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 MARKET ST STE 602",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023693",
            "telephone_number": "253-271-9720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 194th St SW Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980364613",
            "country_code": "US",
            "telephone_number": "425-553-0937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Yauger Way SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028140",
            "country_code": "US",
            "telephone_number": "360-200-8245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Mullan Rd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992066827",
            "country_code": "US",
            "telephone_number": "509-408-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DISPATCHHEALTH WASHINGTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "215-813-5940"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Nicole Diquattro
• Kayla Jeanne Diroma
• Discovery Practice Management, Inc. (Center For Discovery, Tacoma)
• Discovery Practice Management, Inc. (Discovery Mood & Anxiety Program, Tacoma)
• Dispatchhealth Advanced Care, LLC
• James Marshall Dittman, MD
• Janelle Renae Dittus, MSW, LICSW
• Megan Ditty
• Alexander A Divin, M.D.
• Merri A Divine Steel, LMP

• Emergency Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.