Active NPI
Victoria P Gandia, ARNP
- Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61305310
- Practice address
- 5350 Tallman Ave NW Ste 520
Seattle, WA 98107-5910 - Phone
- (206) 215-4250
- Fax
- (206) 215-4252
- NPI assigned
- Jun 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61273786 | WA | |
| Nurse Practitioner | 363L00000X | AP61305310 | WA | Primary |
Addresses
Primary practice location
5350 Tallman Ave NW Ste 520
Seattle, WA 98107-5910
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other practice location 1
1221 Madison St Ste 1220
Seattle, WA 98104-1356
Phone (206) 215-4250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2218942 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12911 Beverly Park Rd
Lynnwood, WA 98087-5127
Phone (425) 789-5400
6220 S Alaska St
Tacoma, WA 98408-1317
Phone (877) 883-9430
Hospital & facility affiliations
- Evergreen Health Hospice Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61305310 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Washington PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Hospitalists of Arizona, LLC | Past | Accepting new patients | |
| Aldercrest Health - Edmonds, LLC | Past | Accepting new patients | |
| NM Pacs 2 LLC | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
Organizations & group practices 6
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1467054924
-
- Skilled Nursing Facility
- Edmonds, WA
- NPI 1295249431
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1578564860
-
- Hospitalist Physician
- Albuquerque, NM
- NPI 1366928749
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Kirkland, WA
- NPI 1285719609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1225521867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 TALLMAN AVE NW STE 520",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075910",
"telephone_number": "206-215-4250",
"fax_number": "206-215-4252"
}
],
"practiceLocations": [
{
"address_1": "1221 Madison St Ste 1220",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981041356",
"country_code": "US",
"telephone_number": "206-215-4250",
"fax_number": "206-215-4252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDIA",
"first_name": "VICTORIA",
"middle_name": "P",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-08",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61273786",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61305310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2218942",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.