Charlee Rhea Abboud, DO
Individual provider Active NPI Family Medicine Physician · Tacoma, WA
NPI 1174152169 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1174152169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OP61413490 (WA)
- Practice address
- 1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926 - Phone
- (253) 441-4742
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Osteopathic Manipulative Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Care
Practice addresses (Care Compare)
1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742
Hospital & facility affiliations
- St Joseph Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230809002277 | WA | Practitioner - Osteopathic Manipulative Medicine | 0345641908 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care | Current |
Accepting new patients | |
| Community Health Care | Current |
Accepting new patients | |
| Franciscan Health System | Past | Accepting new patients |
Locations
134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304
10510 Gravelly Lake Dr SW
Tacoma, WA 98499
Phone (253) 589-7030
1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742
1708 E 44th St
Tacoma, WA 98404
Phone (253) 471-4553
1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEDCAA
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- charlee.abbouddo.p1@direct.chc-tacoma.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP61413490 | WA | Yes |
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) 441-4742
Other providers in Tacoma, WA
- Monica Abbi
- Arland Decastro Abbott
- Erin Abbott
- Joel T Abbott
- Mary Alina Abbott
- Abc Physical Therapy
- Alireza Abdolmohammadi
- Michael T Abdon
- Hesham H Abdulkarim
- Jabeen Abdulla
All providers in Tacoma, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.