Active NPI
Theresa Swartz, RN, MSN, CCRN
- Adult Health Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1194102814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP60798434
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2110342 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 604112 | CA | MD | Registered Nurse |
| AP60798434 | WA | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.