NPIMap

Individual provider Active NPI

Ericka Marie Gianotto, ARNP, FNP-C, DNP

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1174070213
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60920634 Issued in WA
Practice address
2930 S Meridian Ste 200
Puyallup, WA 98373-1654
Phone
(253) 445-7600
Fax
(253) 445-7659
NPI assigned
Sep 7, 2016
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0001207-C-NP CO
Family Nurse Practitioner 363LF0000X RN60920633 WA
Family Nurse Practitioner 363LF0000X RN-85238 NM
Family Nurse Practitioner 363LF0000X CNP-03075 NM
Family Nurse Practitioner 363LF0000X AP60920634 WA Primary

Addresses

Primary practice location

2930 S Meridian Ste 200
Puyallup, WA 98373-1654

Mailing address

2930 S Meridian Ste 200
Puyallup, WA 98373-1654
Phone (253) 445-7600

Other identifiers 1

IdentifierTypeStateIssuer
2123120MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326000418 WA Practitioner - Nurse Practitioner 4385923531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

15214 Canyon Rd E
Suite 100
Puyallup, WA 98375-7472
Phone (253) 539-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0001207-C-NPCOMDFamily Nurse Practitioner
CNP-03075NMMDFamily Nurse Practitioner
RN-85238NMMDFamily Nurse Practitioner
AP60920634WAMDFamily Nurse Practitioner
RN60920633WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Mar 4, 2019 Accepting new patients
Franciscan Medical Group CurrentSince Mar 4, 2019 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

12005 Meridian E
#101
Puyallup, WA 98373
Phone (253) 215-1095

15214 Canyon Rd E
Ste 100
Puyallup, WA 98375
Phone (253) 539-4200

2930 S Meridian
Ste 200
Puyallup, WA 98373
Phone (253) 445-7600

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1174070213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 S MERIDIAN STE 200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731654",
            "telephone_number": "253-445-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 S MERIDIAN STE 200",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731654",
            "telephone_number": "253-445-7600",
            "fax_number": "253-445-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANOTTO",
        "first_name": "ERICKA",
        "middle_name": "MARIE",
        "credential": "ARNP, FNP-C, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0001207-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "RN60920633",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "RN-85238",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03075",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60920634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2123120",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.