Individual provider Active NPI

Sarah Phillips, AGNP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1194377705
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60980902 Issued in WA
Practice address
4523 42ND St NE
Tacoma, WA 98422-2424
Phone
(206) 245-4902
NPI assigned
Jul 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X AP60980902 WA
Nurse Practitioner 363L00000X AP60980902 WA Primary

Addresses

Primary practice location

4523 42ND St NE
Tacoma, WA 98422-2424

Mailing address

1201 Pacific Ave Ste 400
Tacoma, WA 98402-4381
Phone (206) 245-4902

Other practice location 1

1201 Pacific Ave Ste 400
Tacoma, WA 98402-4381
Phone (253) 300-8453

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
I20190903002389 WA Practitioner - Nurse Practitioner 0941539829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4306 40TH Ave NE
Tacoma, WA 98422-2488
Phone (206) 245-4902

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prudent Medical Providers NW Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Phillips Family Medicine & Wellness Current Accepting new patients

Locations

1045 S 320th St
Ste 7
Federal Way, WA 98003
Phone (206) 212-6554

1045 S 320th St
Federal Way, WA 98003
Phone (206) 651-7920

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1194377705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PACIFIC AVE STE 400",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024381",
            "telephone_number": "206-245-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 42ND ST NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984222424",
            "telephone_number": "206-245-4902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Pacific Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984024381",
            "country_code": "US",
            "telephone_number": "253-300-8453",
            "fax_number": "253-559-6188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SARAH",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-13",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60980902",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60980902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.