Phyllis D Gearring-Anderson, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30005430 Issued in WA

Practice address

606 Oakesdale Ave SW Ste C200
Renton, WA 98057-5227

Phone

(866) 259-1629

Fax

(855) 666-8541

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Phyllis D Gearring-Watson Other name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phyllis.gearring-anderson.1@21373.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21373/brand/1/csg/1/fhir/r4

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.

• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Tran Urgent Care & Wellness Centers LLC

  • Urgent Care Clinic/Center
  • Tacoma, WA
  • NPI 1003446857
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Renton, WA
  • NPI 1093117574
  Medicare reassignment NPD
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  • Pediatrics Physician
  • Olympia, WA
  • NPI 1831609775
  NPD
• Vpa PC

  • Family Medicine Physician
  • Renton, WA
  • NPI 1699392787
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Impact Health Biometric Testing, Inc.

  • Clinical Medical Laboratory
  • King of Prussia, PA
  • NPI 1588132013
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1104906056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844135",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 OAKESDALE AVE SW STE C200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575227",
            "telephone_number": "866-259-1629",
            "fax_number": "855-666-8541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Yakima Ave",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984055300",
            "country_code": "US",
            "telephone_number": "253-627-9151",
            "fax_number": "253-591-8892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEARRING-ANDERSON",
        "first_name": "PHYLLIS",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30005430",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "AP30005430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9650136",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0235143",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8942895",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0214165",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "GEARRING-WATSON",
            "middle_name": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Jane Gassert, MS, LMFT
• Jennifer Gastelum
• F Peyton Gaunt III, MD
• Sybil Higgins Gautreau, R.D., M.A.
• Julie Gazzoli, PT
• Fesehatsion Gebrehiwot, FESAHA GEBREHIWOT
• Bonnie Jean Geddes
• Kathryn Anne Gedrimas, OTR/L
• Linda M Geere, MD
• David Gellman

• Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.