Organization Active NPI

Northwest Vein & Aesthetic Center

  • Family Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1063729952
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NORTHWEST VEIN & AESTHETIC CENTER
Practice address
4700 Point Fosdick Dr NW Ste 307
Gig Harbor, WA 98335-1706
Phone
(253) 857-8346
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Dr. Aksel Nordestgaard, M.D.
Title
M.D.
Phone
(253) 857-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X WA Primary

Addresses

Primary practice location

4700 Point Fosdick Dr NW Ste 307
Gig Harbor, WA 98335-1706

Mailing address

4700 Point Fosdick Dr NW Ste 307
Gig Harbor, WA 98335-1706
Phone (253) 857-8346

National Provider Directory

National Provider Directory

Locations

4700 Point Fosdick Dr
Ste 307
Gig Harbor, WA 98335
Phone (253) 857-8346

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1063729952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR NW STE 307",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-857-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR NW STE 307",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-857-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST VEIN & AESTHETIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "NORDESTGAARD",
        "authorized_official_first_name": "AKSEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "253-857-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.