Active NPI
Gurvinder Dhillon, FNP
- Nurse Practitioner
- Federal Way, WA
National Provider Identifier
1194232579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60800272
- Practice address
- 33501 1St Way S
Federal Way, WA 98003-6208 - Phone
- (253) 838-2400
- NPI assigned
- Jan 6, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00161155 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60800272 | WA | |
| Primary Care Nurse Practitioner | 363LP2300X | AP60800272 | WA | |
| Nurse Practitioner | 363L00000X | AP60800272 | WA | Primary |
Addresses
Primary practice location
33501 1St Way S
Federal Way, WA 98003-6208
Mailing address
1100 9TH Ave
M4-PFS
Seattle, WA 98101-2756
Phone (206) 515-5811
Other practice location 1
4105 NE 4th St
Renton, WA 98059
Phone (888) 227-3312
Other practice location 2
521 2nd Pl N Ste 11-103
Kent, WA 98032-4537
Phone (425) 690-3491
Other practice location 3
1720 E 67th St Ste 119
Tacoma, WA 98404-4223
Phone (253) 212-0202
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2086163 | Medicaid | WA | |
| 1194232579 | Medicaid | WA | |
| 2097027 | Medicaid | WA |
Other names 1
- Guvinder Paul Kaur
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00161155 | WA | MD | Registered Nurse |
| AP60800272 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Horsley Advanced Practice Registered Nurse PLLC | Family | Current | Accepting new patients |
Locations
1720 E 67th St
Ste 119
Tacoma, WA 98404
Phone (253) 212-0202
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Tacoma, WA
- NPI 1518261148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610150400000",
"number": "1194232579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"address_2": "M4-PFS",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-515-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33501 1ST WAY S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036208",
"telephone_number": "253-838-2400"
}
],
"practiceLocations": [
{
"address_1": "4105 NE 4th St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "98059",
"country_code": "US",
"telephone_number": "888-227-3312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "521 2nd Pl N Ste 11-103",
"address_purpose": "LOCATION",
"city": "Kent",
"state": "WA",
"postal_code": "980324537",
"country_code": "US",
"telephone_number": "425-690-3491",
"fax_number": "425-690-9091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 E 67th St Ste 119",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984044223",
"country_code": "US",
"telephone_number": "253-212-0202",
"fax_number": "253-212-0962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DHILLON",
"first_name": "GURVINDER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-06",
"last_updated": "2021-01-09",
"certification_date": "2021-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00161155",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60800272",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP60800272",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60800272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2086163",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194232579",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2097027",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GUVINDER",
"last_name": "KAUR",
"middle_name": "PAUL",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.