Individual provider Active NPI

Suzanne Pak

  • Case Manager/Care Coordinator
  • Gig Harbor, WA
National Provider Identifier
1174166144
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4423 PT Fsdick Dr NW Ste 100-6
Gig Harbor, WA 98335-1797
Phone
(253) 851-1801
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

4423 PT Fsdick Dr NW Ste 100-6
Gig Harbor, WA 98335-1797

Mailing address

4423 PT Fsdick Dr NW Ste 100-6
Gig Harbor, WA 98335-1797
Phone (253) 851-1801

Other identifiers 1

IdentifierTypeStateIssuer
1113863MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Answers Counseling, Consultation and Case MGT. Services CurrentSince Oct 13, 2024 Accepting new patients
Answers Counseling, Consultation and Case Management Services CurrentSince Oct 13, 2024 Accepting new patients

Locations

4423 Point Fosdick Dr
Ste 1006
Gig Harbor, WA 98335
Phone (253) 851-1801

Organizations & group practices 2

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1174166144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 PT FSDICK DR NW STE 100-6",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351797",
            "telephone_number": "253-851-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 PT FSDICK DR NW STE 100-6",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351797",
            "telephone_number": "253-851-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1113863",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.