Individual provider Active NPI

Theresa Swartz, RN, MSN, CCRN

  • Adult Health Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1194102814
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60798434 Issued in WA
Practice address
1802 Yakima Ave Ste 302
Tacoma, WA 98405-5305
Phone
(253) 627-1244
Fax
(253) 835-5511
NPI assigned
May 1, 2015
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP60798434 WA Primary
Registered Nurse 163W00000X 604112 CA

Addresses

Primary practice location

1802 Yakima Ave Ste 302
Tacoma, WA 98405-5305

Mailing address

1802 Yakima Ave Ste 302
Tacoma, WA 98405-5305
Phone (253) 627-1244

Other practice location 1

5730 Riverside Dr
Bldg., 625
March Arb, CA 92518-1830
Phone (951) 655-5167

Other identifiers 1

IdentifierTypeStateIssuer
2110342MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tswartz311173@fhsce.catholichealth.net
Direct Messaging Address tswartz311173@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218003861 WA Practitioner - Nurse Practitioner 8820333966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
604112CAMDRegistered Nurse
AP60798434WAMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tswartz311173@fhsce.catholichealth.net

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1194102814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE STE 302",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055305",
            "telephone_number": "253-627-1244",
            "fax_number": "253-835-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE STE 302",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055305",
            "telephone_number": "253-627-1244",
            "fax_number": "253-835-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5730 Riverside Dr",
            "address_2": "Bldg., 625",
            "address_purpose": "LOCATION",
            "city": "March Arb",
            "state": "CA",
            "postal_code": "925181830",
            "country_code": "US",
            "telephone_number": "951-655-5167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "THERESA",
        "credential": "RN, MSN, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60798434",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "604112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110342",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tswartz311173@fhsce.catholichealth.net",
            "affiliation": "N",
            "address_1": "1802 Yakima Ave Ste 304",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tswartz311173@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1802 Yakima Ave Ste 302",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.