Active NPI
Tyler Ritsema
- Blind Rehabilitation Specialist/Technologist
- Tacoma, WA
National Provider Identifier
1104465251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blind Rehabilitation Specialist/Technologist
- Practice address
- 9600 Veterans Dr SW
Tacoma, WA 98493-0003 - Phone
- (253) 583-1299
- NPI assigned
- Jan 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blind Rehabilitation Specialist/Technologist | 2255R0406X | Primary |
Addresses
Primary practice location
9600 Veterans Dr SW
Tacoma, WA 98493-0003
Mailing address
8288 Freeland Ave SW BLDG 5
Byron Center, MI 49315-9448
Phone (616) 405-7096
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1104465251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8288 FREELAND AVE SW BLDG 5",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493159448",
"telephone_number": "616-405-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 VETERANS DR SW",
"city": "TACOMA",
"state": "WA",
"postal_code": "984930003",
"telephone_number": "253-583-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITSEMA",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255R0406X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Rehabilitation, Blind",
"state": null,
"license": null,
"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 Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.