Active NPI
Anna M Walen, ARNP
- Family Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1033513650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60499756
- Practice address
- 1930 Port of Tacoma Rd
Tacoma, WA 98421-3707 - Phone
- (253) 272-6677
- Fax
- (253) 274-5525
- NPI assigned
- Oct 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60499756 | WA | Primary |
Addresses
Primary practice location
1930 Port of Tacoma Rd
Tacoma, WA 98421-3707
Mailing address
1930 Port of Tacoma Rd
Tacoma, WA 98421-3707
Phone (253) 272-6677
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 |
|---|---|---|---|
| AP60499756 | WA | MD | Family Nurse Practitioner |
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 |
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
Interoperability endpoints
- awalen348132@direct.multicare.org
Organizations & group practices 3
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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Covington MultiCare Clinic
- Family Medicine Physician
- Covington, WA
- NPI 1093768657
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1033513650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 PORT OF TACOMA RD",
"city": "TACOMA",
"state": "WA",
"postal_code": "984213707",
"telephone_number": "253-272-6677",
"fax_number": "253-274-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 PORT OF TACOMA RD",
"city": "TACOMA",
"state": "WA",
"postal_code": "984213707",
"telephone_number": "253-272-6677",
"fax_number": "253-274-5525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALEN",
"first_name": "ANNA",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-09",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60499756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
- Michael Wakin, D.O.
- Wal-Mart Stores, Inc. (Wal-Mart Vision Center 30-4137)
- Rohan Walawalkar
- Avis Walcott
- Allison Reanne Walczyk, ARNP, DNP
- Thilini Dananjanee Walgamage, M.D.
- Walgreen Co (Walgreens Specialty Pharmacy #21152)
- Walgreen Co (Walgreens #05697)
- Walgreen Co (Walgreens #09590)
- Walgreen Co (Walgreens #05150)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.