Active NPI
Sarah Melissa Dore, ARNP
- Pediatric Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP61298606
- Practice address
- 1220 Division Ave
Tacoma, WA 98403-1321 - Phone
- (253) 403-1442
- NPI assigned
- Jan 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60746700 | WA | |
| Pediatric Nurse Practitioner | 363LP0200X | AP61298606 | WA | Primary |
Addresses
Primary practice location
1220 Division Ave
Tacoma, WA 98403-1321
Mailing address
14930 SE 184TH St
Renton, WA 98058-7318
Phone (808) 351-0989
Other practice location 1
30 Hunter Ln
Camp Hill, PA 17011-2499
Phone (800) 748-3243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60746700 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
5700 100th St SW
Ste 510
Lakewood, WA 98499
Phone (253) 459-6060
200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336
402 15th Ave SE
Ste 100
Puyallup, WA 98372
Phone (253) 607-5200
3600 Lind Ave SW
Ste 160
Renton, WA 98057
Phone (425) 656-4215
1220 Division Ave
Tacoma, WA 98403
Phone (253) 403-1465
Interoperability endpoints
- sleong580090@direct.multicare.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Internal Medicine Physician
- Spokane, WA
- NPI 1730687161
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1023760972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14930 SE 184TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980587318",
"telephone_number": "808-351-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 DIVISION AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984031321",
"telephone_number": "253-403-1442"
}
],
"practiceLocations": [
{
"address_1": "30 Hunter Ln",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170112499",
"country_code": "US",
"telephone_number": "800-748-3243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DORE",
"first_name": "SARAH",
"middle_name": "MELISSA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60746700",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP61298606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.