Active NPI
Tamara A Iverson, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Pasco, WA
National Provider Identifier
1215579503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61199411
- Practice address
- 2715 Saint Andrews Loop
Pasco, WA 99301-3386 - Phone
- (509) 412-1051
- NPI assigned
- Oct 8, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61199411 | WA | Primary |
Addresses
Primary practice location
2715 Saint Andrews Loop
Pasco, WA 99301-3386
Mailing address
PO Box 959
Yakima, WA 98902
Phone (509) 575-4084
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2715 Saint Andrews Loop
Suite C
Pasco, WA 99301-3386
Phone (509) 412-1051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Healthcare | Current | Accepting new patients | |
| Comprehensive Healthcare | Current | Accepting new patients |
Locations
2715 Saint Andrews Loop
Ste C
Pasco, WA 99301
Phone (509) 412-1051
402 S 4th Ave
Yakima, WA 98902
Phone (509) 575-3874
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Yakima, WA
- NPI 1073527453
-
- Methadone Clinic
- Yakima, WA
- NPI 1588871693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633219200000",
"number": "1215579503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-575-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 SAINT ANDREWS LOOP",
"city": "PASCO",
"state": "WA",
"postal_code": "993013386",
"telephone_number": "509-412-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERSON",
"first_name": "TAMARA",
"middle_name": "A",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-08",
"last_updated": "2021-10-03",
"certification_date": "2021-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61199411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.