Advanced NP Consultation LLC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

ADVANCED NP CONSULTATION LLC

Practice address

815 S Vassault St
Tacoma, WA 98465-2008

Phone

(253) 444-3320

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corene Irvin, ARNPNPI 1003463951

Title

Owner

Phone

(253) 444-3320

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corene Kimberly Irvin, APRN

  • Acute Care Nurse Practitioner
  • Puyallup, WA
  • NPI 1003463951
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1174280663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S VASSAULT ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652008",
            "telephone_number": "253-444-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S VASSAULT ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652008",
            "telephone_number": "253-444-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NP CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "CORENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-444-3320",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP60978206",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Advanced Pain Medicine Physicians, PLLC
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• Advanced Proliance Homecare and Staffing LLC
• Advanced Womens Health
• Advent Senior Care Home LLC

• Acute Care Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Acute Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.