Active NPI
Heather M Justice, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- MD60170287
- Practice address
- 315 Martin Luther King Jr Way
Tacoma, WA 98405 - Phone
- (253) 403-1050
- Fax
- (626) 623-1227
- NPI assigned
- Jul 24, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 29891 | SC | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD60170287 | WA | Primary |
Addresses
Primary practice location
315 Martin Luther King Jr Way
Tacoma, WA 98405
Mailing address
PO Box 661448
Arcadia, CA 91066-1448
Phone (626) 447-0296
Other practice location 1
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2031508 | Medicaid | WA | |
| 298911 | Medicaid | SC |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Washington School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 459-6633
5900 State Hwy 303 NE
Bremerton, WA 98311-3741
Phone (253) 459-6633
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29891 | SC | MD | Emergency Medical Services (Emergency Medicine) Physician |
| MD60170287 | WA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tacoma Emergency Care Physicians, PLLC | Current | Accepting new patients | |
| Olympia Emergency Care Physicians PLLC | Current | Accepting new patients | |
| Northwest Emergency Physicians LLC | Current | Accepting new patients | |
| Tacoma Emergency Care Physicians, PLLC | Current | Accepting new patients |
Locations
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
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.
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1770823791
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Emergency Medicine Physician
- Olympia, WA
- NPI 1396498671
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1073854766
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1053511295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 661448",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910661448",
"telephone_number": "626-447-0296",
"fax_number": "626-623-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MARTIN LUTHER KING JR WAY",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-403-1050",
"fax_number": "626-623-1227"
}
],
"practiceLocations": [
{
"address_1": "606 Black River Rd",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "SC",
"postal_code": "294403304",
"country_code": "US",
"telephone_number": "843-527-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUSTICE",
"first_name": "HEATHER",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "SC",
"license": "29891",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WA",
"license": "MD60170287",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2031508",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298911",
"state": "SC"
}
],
"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 Dec 2, 2019; 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.