Individual provider Active NPI

Alexis Christine Themelis Balser, DNP,ARNP

  • Pediatric Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1154964815
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP61005862 Issued in WA
Practice address
11601 Pacific Ave S
Tacoma, WA 98444-5425
Phone
(253) 536-3336
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP61005862 WA Primary

Addresses

Primary practice location

11601 Pacific Ave S
Tacoma, WA 98444-5425

Mailing address

11601 Pacific Ave S
Tacoma, WA 98444-5425
Phone (253) 536-3336

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
I20230420001559 WA Practitioner - Nurse Practitioner 6305201633 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Apr 7, 2023 Accepting new patients
Multicare Health System CurrentSince Apr 7, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Pacific Pediatrics PastSince Oct 27, 2019 Accepting new patients

Locations

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

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Interoperability endpoints

  • Direct secure messaging: alexis.balser.1@32183.direct.athenahealth.com

Organizations & group practices 4

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1154964815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445425",
            "telephone_number": "253-536-3336",
            "fax_number": "253-536-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445425",
            "telephone_number": "253-536-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSER",
        "first_name": "ALEXIS",
        "middle_name": "CHRISTINE THEMELIS",
        "credential": "DNP,ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP61005862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.