Northwest Evaluation and Consultation Services Incorporated

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP30004806 Issued in WA

Legal business name

NORTHWEST EVALUATION AND CONSULTATION SERVICES INCORPORATED

Practice address

5608 17TH Street CT NE
Tacoma, WA 98422-3446

Phone

(253) 927-2130

Fax

(253) 952-3049

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Julia E Fanslow, ARNP, PHD

Title

Arnp

Phone

(253) 927-2130

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1124222559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 17TH STREET CT NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984223446",
            "telephone_number": "253-927-2130",
            "fax_number": "253-952-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 17TH STREET CT NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984223446",
            "telephone_number": "253-927-2130",
            "fax_number": "253-952-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EVALUATION AND CONSULTATION SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "FANSLOW",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "253-927-2130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ARNP, PHD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30004806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1346267051",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9637398",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.