NPIMap

Individual provider Active NPI

Richard John Dealy, ARNP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1255765541
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60408381 Issued in WA
Practice address
1501 Pacific Ave
Ste 210
Tacoma, WA 98402-3302
Phone
(253) 680-6000
NPI assigned
Aug 22, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60408381 WA Primary
Family Nurse Practitioner 363LF0000X AP60408381 WA
Primary Care Nurse Practitioner 363LP2300X AP60408381 WA

Addresses

Primary practice location

1501 Pacific Ave
Ste 210
Tacoma, WA 98402-3302

Mailing address

1501 Pacific Ave
Ste 210
Tacoma, WA 98402-3302
Phone (253) 680-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801002515 MT Practitioner - Nurse Practitioner 1153557418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Five Valleys UrologyGroup PAC ID 3870497571, 7 clinicians

Practice addresses (Care Compare)

2875 Tina Rd
Suite 101
Missoula, MT 59808
Phone 40672833665651

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership Health Center Inc Nurse Practitioner Current Accepting new patients
Partnership Health Center Inc CurrentSince May 13, 2022 Accepting new patients
Partnership Health Center Inc CurrentSince May 13, 2022 Accepting new patients
Five Valleys Urology CurrentSince Jul 1, 2025 Accepting new patients

Locations

1315 Wyoming St
Missoula, MT 59801
Phone (406) 532-9700

2875 Tina Ave
Ste 101
Missoula, MT 59808
Phone (406) 728-3366

323 W Alder St
Missoula, MT 59802
Phone (406) 258-4195

401 Railroad St W
Missoula, MT 59802
Phone (406) 258-4183

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 8

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1255765541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PACIFIC AVE",
            "address_2": "STE 210",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023302",
            "telephone_number": "253-680-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PACIFIC AVE",
            "address_2": "STE 210",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023302",
            "telephone_number": "253-680-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEALY",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60408381",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60408381",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60408381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.