Active NPI
Thomas N. Wilkins, A.R.N.P
- Family Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1225180409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30007634
- Practice address
- 1708 Yakima Ave
Ste 110
Tacoma, WA 98405-5307 - Phone
- (253) 382-8000
- Fax
- (253) 382-8019
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30007634 | WA | Primary |
Addresses
Primary practice location
1708 Yakima Ave
Ste 110
Tacoma, WA 98405-5307
Mailing address
1708 Yakima Ave
Ste 110
Tacoma, WA 98405-5307
Phone (253) 382-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0218678 | Other | WA | STATE L&I |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1225180409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "STE 110",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-382-8000",
"fax_number": "253-382-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "STE 110",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-382-8000",
"fax_number": "253-382-8019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "THOMAS",
"middle_name": "N.",
"credential": "A.R.N.P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0218678",
"state": "WA"
}
],
"endpoints": [],
"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 Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.