Active NPI
Nathaniel Ott, DNP, ARNP, AGACNP-BC
- Gerontology Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP61288343
- Practice address
- 2420 S State St
Tacoma, WA 98405-2845 - Phone
- (253) 426-4000
- Fax
- (253) 428-8440
- NPI assigned
- Feb 18, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN60791598 | WA | |
| Acute Care Nurse Practitioner | 363LA2100X | AP61288343 | WA | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | AP61288343 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | AP61288343 | WA | Primary |
Addresses
Primary practice location
2420 S State St
Tacoma, WA 98405-2845
Mailing address
2420 S State St
Tacoma, WA 98405-2845
Phone (253) 426-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2217876 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nott236984@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
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)
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341
Hospital & facility affiliations
- St Francis Community Hospital
- Highline Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60791598 | WA | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
34515 9th Ave S
#136
Federal Way, WA 98003
11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000
11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
2420 S State St
Tacoma, WA 98405
Phone (253) 426-4000
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
1717 S J St
#2010
Tacoma, WA 98405
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burien, WA
- NPI 1558333682
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1053944108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 S STATE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052845",
"telephone_number": "253-426-4000",
"fax_number": "253-428-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 S STATE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052845",
"telephone_number": "253-426-4000",
"fax_number": "253-428-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "NATHANIEL",
"credential": "DNP, ARNP, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-18",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WA",
"license": "RN60791598",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WA",
"license": "AP61288343",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "WA",
"license": "AP61288343",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP61288343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2217876",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nott236984@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1717 S J St",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054933",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 19, 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.