Provider Training

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

00167311 Issued in WA

Legal business name

PROVIDER TRAINING

Practice address

4212 S 36TH St
Tacoma, WA 98409-2238

Phone

(253) 272-3376

NPI assigned

Jul 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Morris Ellsworth Sterling Jr., REGISTERED NURSE

Title

Director of Clinical Services

Phone

(253) 272-3376

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1033550876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 S 36TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092238",
            "telephone_number": "253-272-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 S 36TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092238",
            "telephone_number": "253-272-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "ELLSWORTH",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "253-272-3376",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "00167311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.