Tahoma Primary Care Practitioners, LLP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

TAHOMA PRIMARY CARE PRACTITIONERS, LLP

Practice address

615 N Proctor St
Tacoma, WA 98406-4931

Phone

(253) 292-5812

Fax

(253) 617-7768

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Michele D Gill

Title

Practice Manager

Phone

(907) 301-4994

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1114647492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N PROCTOR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064931",
            "telephone_number": "253-292-5812",
            "fax_number": "253-617-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N PROCTOR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064931",
            "telephone_number": "253-292-5812",
            "fax_number": "253-617-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOMA PRIMARY CARE PRACTITIONERS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "907-301-4994"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig E Taft, PT
• Heather Kristin Taft, CDPT
• Seth Isidore Taft, MD
• Mahnoosh Taheri, M.D.
• Mahnaz Tahernezhadi
• Rose Taicz, RPH
• Tailored Healthcare Services LLC
• Gregory Gogue Tainatongo
• Richard Taing, M.D.
• Stephanie Eileen Taipale

• Primary Care Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Primary Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.