Active NPI
Nicholas Tamburri, PA-C
- Physician Assistant
- Everett, WA
National Provider Identifier
1174572044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10004831
- Practice address
- 1321 Colby Ave
Everett, WA 98201-1665 - Phone
- (425) 261-2000
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004831 | WA | Primary |
Addresses
Primary practice location
1321 Colby Ave
Everett, WA 98201-1665
Mailing address
11108 Chennault Beach Rd
#1021
Mukilteo, WA 98275-4903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8434011 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Eastside Emergency Physicians, PLLC | Current | Accepting new patients | |
| Eastside Emergency Physicians PLLC | Current | Accepting new patients | |
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients | |
| Franklin, Favata & Hulls, MD'S, PA | Past | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Issaquah, WA
- NPI 1689683229
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1922303478
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Obstetrics & Gynecology Physician
- Issaquah, WA
- NPI 1073581807
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1841240439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174572044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11108 CHENNAULT BEACH RD",
"address_2": "#1021",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982754903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COLBY AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011665",
"telephone_number": "425-261-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMBURRI",
"first_name": "NICHOLAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8434011",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.