Active NPI
Iain Brewer, FNP-C
- Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61327779
- Practice address
- 1112 S Cushman Ave
Tacoma, WA 98405-3631 - Phone
- (535) 932-1442
- Fax
- (253) 246-6725
- NPI assigned
- Aug 2, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61327779 | WA | |
| Nurse Practitioner | 363L00000X | AP61327779 | WA | Primary |
Addresses
Primary practice location
1112 S Cushman Ave
Tacoma, WA 98405-3631
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6626
Other practice location 1
1148 Broadway Ste 100
Tacoma, WA 98402-3518
Phone (253) 441-4742
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1112 S Cushman Ave
Tacoma, WA 98405-3631
Phone (253) 593-2144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61327779 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Family | Current | Accepting new patients |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Community Health Care | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Nurse Practitioner | Current | Accepting new patients |
| Community Health Care | Current | Accepting new patients | |
| Sea-Mar Community Health Center | Past | Accepting new patients |
Locations
1040 S Henderson St
Seattle, WA 98108
Phone (206) 763-5210
134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304
1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742
1708 E 44th St
Tacoma, WA 98404
Phone (253) 471-4553
1112 S Cushman Ave
Tacoma, WA 98405
Phone (253) 593-2144
1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742
Interoperability endpoints
- iain.brewernp.p1@direct.chc-tacoma.nextgenshare.com
- ibrewer815548@direct.multicare.org
- https://fhir4.healow.com/fhir/r4/HEDCAA
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Tacoma, WA
- NPI 1790762755
-
- Federally Qualified Health Center (FQHC)
- Puyallup, WA
- NPI 1003515594
-
- Federally Qualified Health Center (FQHC)
- Tacoma, WA
- NPI 1457895740
Family
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Family Medicine Physician
- Seattle, WA
- NPI 1942358817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1043947989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "253-681-6626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 S CUSHMAN AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053631",
"telephone_number": "535-932-1442",
"fax_number": "253-246-6725"
}
],
"practiceLocations": [
{
"address_1": "1148 Broadway Ste 100",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984023518",
"country_code": "US",
"telephone_number": "253-441-4742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREWER",
"first_name": "IAIN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-02",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61327779",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61327779",
"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 Oct 8, 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.
- 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.