Active NPI
Daren McLean Nystrom, MA, ATC, CSCS
- Athletic Trainer
- Tacoma, WA
National Provider Identifier
1235198664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1500 N Warner St
#1044
Tacoma, WA 98416-5000 - Phone
- (253) 879-2813
- Fax
- (253) 879-3634
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1500 N Warner St
#1044
Tacoma, WA 98416-5000
Mailing address
6012 S 233Rd PL
Ff204
Kent, WA 98032-4855
Phone (253) 879-2813
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)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235198664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6012 S 233RD PL",
"address_2": "FF204",
"city": "KENT",
"state": "WA",
"postal_code": "980324855",
"telephone_number": "253-879-2813",
"fax_number": "253-879-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N WARNER ST",
"address_2": "#1044",
"city": "TACOMA",
"state": "WA",
"postal_code": "984165000",
"telephone_number": "253-879-2813",
"fax_number": "253-879-3634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYSTROM",
"first_name": "DAREN",
"middle_name": "MCLEAN",
"name_prefix": "Mr.",
"credential": "MA, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.