Individual provider Active NPI

Pamela Handran, ARNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tumwater, WA
National Provider Identifier
1154885259
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61366115 Issued in WA
Practice address
3285 Ferguson St SW
Tumwater, WA 98512
Phone
(360) 943-1907
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60654286 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61366115 WA Primary

Addresses

Primary practice location

3285 Ferguson St SW
Tumwater, WA 98512

Mailing address

3285 Ferguson St SW
Tumwater, WA 98512-6143
Phone (360) 943-1907

Other names 1

  • Pamela Ward Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221206000110 WA Practitioner - Nurse Practitioner 7618346131 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

7100 Fort Dent Way
Suite 220
Tukwila, WA 98188-8553
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jan 6, 2023 Accepting new patients
Multicare Health System CurrentSince Dec 2, 2022 Accepting new patients
Greater Lakes Mental Health Foundation Inc CurrentSince Nov 11, 2022 Accepting new patients
Telecare Mental Health Services of Washington, Inc CurrentSince Aug 1, 2023 Accepting new patients
Telecare Mental Health Services of Washington Inc CurrentSince Aug 1, 2023 Accepting new patients
Telecare Mental Health Services of Washington, Inc Current Accepting new patients
Multicare Health System CurrentSince Dec 2, 2022 Accepting new patients
Telecare Mental Health Services of Washington, Inc Past Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

14016 A St S
Tacoma, WA 98444
Phone (253) 503-3649

9601 Steilacoom Blvd SW
Bldg 27
Tacoma, WA 98498
Phone (253) 589-5334

950 Broadway
Ste 404
Tacoma, WA 98402
Phone (206) 774-8557

9330 59th Ave SW
Tacoma, WA 98499
Phone (253) 581-7020

7100 Fort Dent Way
Ste 220
Tukwila, WA 98188
Phone (206) 708-7274

3285 Ferguson St SW
Tumwater, WA 98512
Phone (360) 252-2989

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1154885259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 FERGUSON ST SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985126143",
            "telephone_number": "360-943-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 FERGUSON ST SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "360-943-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDRAN",
        "first_name": "PAMELA",
        "credential": "ARNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60654286",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61366115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.