Individual provider Active NPI

Celiana Tupua, LPN

  • Registered Nurse
  • Tacoma, WA
National Provider Identifier
1114463403
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN61050233 Issued in WA
Practice address
9040 Jackson Ave
Attn: MCHJ-CLQ-C Madigan Army Medical Center,
Tacoma, WA 98413-1100
Phone
(360) 968-3030
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP60687182 WA
Registered Nurse 163W00000X RN61050233 WA Primary

Addresses

Primary practice location

9040 Jackson Ave
Attn: MCHJ-CLQ-C Madigan Army Medical Center,
Tacoma, WA 98413-1100

Mailing address

15312 Carter CT SE
Yelm, WA 98597-8575
Phone (253) 683-0103

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
RN61050233WAMDRegistered Nurse
LP60687182WAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1114463403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15312 CARTER CT SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978575",
            "telephone_number": "253-683-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "address_2": "ATTN: MCHJ-CLQ-C MADIGAN ARMY MEDICAL CENTER,",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984131100",
            "telephone_number": "360-968-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUPUA",
        "first_name": "CELIANA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60687182",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61050233",
            "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 Feb 21, 2023; 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.