NPIMap

Organization Active NPI

Dispatchhealth Advanced Care, LLC

  • Emergency Medicine Physician
  • Tacoma, WA
National Provider Identifier
1114604535
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
DISPATCHHEALTH ADVANCED CARE, LLC
Practice address
2420 S Union Ave Ste 120
Tacoma, WA 98405-1322
Phone
(253) 954-3354
NPI assigned
Jun 28, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Patrick Palmer Kneeland, MD
Title
VP Medical Affairs
Phone
(720) 530-4985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

2420 S Union Ave Ste 120
Tacoma, WA 98405-1322

Mailing address

3825 N Lafayette St
Denver, CO 80205-3316
Phone (303) 500-1518

Other practice location 1

6912 220th St SW Ste 113
Mountlake Terrace, WA 98043-2174
Phone (235) 954-3354

National Provider Directory

National Provider Directory
Tax ID family
Dispatchhealth Advanced Care LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6912 220th St SW
Ste 113
Mountlake Terrace, WA 98043
Phone (425) 361-7670

2420 S Union Ave
Ste 120
Tacoma, WA 98405
Phone (253) 271-9720

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1114604535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053316",
            "telephone_number": "303-500-1518",
            "fax_number": "702-598-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S UNION AVE STE 120",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051322",
            "telephone_number": "253-954-3354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6912 220th St SW Ste 113",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432174",
            "country_code": "US",
            "telephone_number": "235-954-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DISPATCHHEALTH ADVANCED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "KNEELAND",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "PALMER",
        "authorized_official_title_or_position": "VP MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "720-530-4985",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "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 Jun 28, 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.