Individual provider Active NPI

Alia Davis, PA

  • Physician Assistant
  • Tacoma, WA
National Provider Identifier
1235828039
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61433283 Issued in WA
Practice address
1624 S I St Ste 102
Tacoma, WA 98405-5029
Phone
(253) 428-8700
NPI assigned
May 5, 2023
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA.PA.61433283 WA
Physician Assistant 363A00000X PA61433283 WA Primary

Addresses

Primary practice location

1624 S I St Ste 102
Tacoma, WA 98405-5029

Mailing address

3102 Christophers Watch LN
Ruskin, FL 33570-3051
Phone (727) 687-8446

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
I20230816000485 WA Practitioner - Physician Assistant 7012379522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11511 Canterwood Blvd
Suite 45
Gig Harbor, WA 98332-5816
Phone (253) 428-8700

1624 I St S
Suite 305
Tacoma, WA 98405-5093

1624 S I St
Tacoma, WA 98405-5093
Phone (253) 428-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.PA.61433283WAMDFamily Medicine Physician
PA61433283WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Specialties PLLC CurrentSince Aug 5, 2025 Accepting new patients
Peninsula Community Health Services CurrentSince Jul 31, 2023 Accepting new patients
Peninsula Community Health Services Family Medicine CurrentSince Jul 31, 2023 Accepting new patients
Peninsula Community Health Services Family Medicine Past Accepting new patients

Locations

616 6th St
Bremerton, WA 98337
Phone (360) 478-2366

320 S Kitsap Blvd
Port Orchard, WA 98366
Phone (360) 876-7215

19917 7th Ave NE
Ste 205
Poulsbo, WA 98370
Phone (360) 697-7636

1624 S I St
Ste 102
Tacoma, WA 98405
Phone (253) 383-3366

1624 S I St
Ste 305
Tacoma, WA 98405

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1235828039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 CHRISTOPHERS WATCH LN",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335703051",
            "telephone_number": "727-687-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S I ST STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055029",
            "telephone_number": "253-428-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "PA.PA.61433283",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61433283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.