Individual provider Active NPI

Katsuko Tanaka, ARNP

  • Adult Psychiatric/Mental Health Registered Nurse
  • Seattle, WA
National Provider Identifier
1083717904
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RN00086690 Issued in WA
Practice address
4700 42ND Ave SW
Suite 430
Seattle, WA 98116-4591
Phone
(206) 933-0699
Fax
(206) 932-6045
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN00086690 WA Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X AP30002001 WA

Addresses

Primary practice location

4700 42ND Ave SW
Suite 430
Seattle, WA 98116-4591

Mailing address

4700 42ND Ave SW
Suite 430
Seattle, WA 98116-4591
Phone (206) 933-0699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN00086690WAMDAdult Psychiatric/Mental Health Registered Nurse
AP30002001WAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1083717904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 42ND AVE SW",
            "address_2": "SUITE 430",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164591",
            "telephone_number": "206-933-0699",
            "fax_number": "206-932-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 42ND AVE SW",
            "address_2": "SUITE 430",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164591",
            "telephone_number": "206-933-0699",
            "fax_number": "206-932-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "KATSUKO",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "RN00086690",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "AP30002001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.