NPIMap

Individual provider Active NPI

Mary Dam Harvey

  • Critical Care Medicine Registered Nurse
  • University Place, WA
National Provider Identifier
1023401627
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
RN00150813 Issued in WA
Practice address
4627 Alameda Ave
University Place, WA 98466-6301
Phone
(253) 988-1253
NPI assigned
Mar 6, 2015
Last updated
Feb 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN00150813 WA Primary
Acute Care Nurse Practitioner 363LA2100X AP 60630734 WA

Addresses

Primary practice location

4627 Alameda Ave
University Place, WA 98466-6301

Mailing address

4627 Alameda Ave
University Place, WA 98466-6301
Phone (253) 988-1253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602002537 WA Practitioner - Nurse Practitioner 2163712142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN00150813WAMDCritical Care Medicine Registered Nurse
AP 60630734WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Current Accepting new patients
Franciscan Medical Group CurrentSince Apr 1, 2019 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Aug 12, 2022 Accepting new patients
Cogent Healthcare of Washington, PC CurrentSince Aug 12, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Aug 12, 2022 Accepting new patients
Franciscan Medical Group CurrentSince Apr 1, 2019 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1717 S J St
Stop 136
Tacoma, WA 98405

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1023401627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 ALAMEDA AVE",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984666301",
            "telephone_number": "253-988-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 ALAMEDA AVE",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984666301",
            "telephone_number": "253-988-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "MARY",
        "middle_name": "DAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "WA",
            "license": "RN00150813",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP 60630734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.