Individual provider Active NPI

Andrea Ohm, NP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1164035010
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61084447 Issued in WA
Practice address
1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone
(253) 597-4550
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61084447 WA Primary

Addresses

Primary practice location

1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926

Mailing address

1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 597-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210506000619 WA Practitioner - Nurse Practitioner 4284043126 Reassigns benefits to 2 organizations
I20250830000342 ID Practitioner - Nurse Practitioner 4284043126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

5058 Main St
Suite 100
Tacoma, WA 98407-3148
Phone (253) 533-6770

5314 176TH St E
A
Tacoma, WA 98446-7507
Phone (253) 875-7630

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61084447WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care CurrentSince Mar 25, 2021 Accepting new patients
Multicare Health System CurrentSince Apr 23, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Indigo Idaho Services, LLC CurrentSince Jun 16, 2025 Accepting new patients
Community Health Care CurrentSince Mar 25, 2021 Accepting new patients
Multicare Health System CurrentSince Apr 23, 2023 Accepting new patients

Locations

2836 N Ramsey Rd
Coeur D Alene, ID 83815
Phone (208) 482-3400

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

134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742

1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: andrea.wittmierarnp.p1@direct.chc-tacoma.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1164035010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053926",
            "telephone_number": "253-597-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053926",
            "telephone_number": "253-597-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHM",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61084447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.