NPIMap

Individual provider Active NPI

Victoria Anne Warshaw, PA-C

  • Physician Assistant
  • Tacoma, WA
National Provider Identifier
1306353537
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60821431 Issued in WA
Practice address
1717 S J St
Tacoma, WA 98405-4933
Phone
(253) 426-4101
NPI assigned
Jan 9, 2018
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TA.60822493 WA
Physician Assistant 363A00000X PA60821431 WA Primary

Addresses

Primary practice location

1717 S J St
Tacoma, WA 98405-4933

Mailing address

8401 42ND St W
University Place, WA 98466-2412

Other practice location 1

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 985-1711

Other practice location 2

11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 530-2000

Other practice location 3

34515 9th Ave S
Federal Way, WA 98003-6761
Phone (253) 944-8100

Other practice location 4

6240 Tacoma Mall Blvd Ste 101
Tacoma, WA 98409-6819
Phone (253) 271-9720

Other practice location 5

6912 220th St SW Ste 113
Mountlake Terrace, WA 98043-2174
Phone (425) 553-0937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20180406002233 WA Practitioner - Physician Assistant 4587927454 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 459-6633

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60821431WAMDPhysician Assistant
TA.60822493WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tacoma Emergency Care Physicians, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Multicare Health System CurrentSince Apr 17, 2021 Accepting new patients
Tacoma Emergency Care Physicians, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Multicare Health System CurrentSince Apr 17, 2021 Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

14815 Pacific Ave S
Tacoma, WA 98444
Phone (253) 697-8660

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Interoperability endpoints

  • Direct secure messaging: vwarshaw313591@direct.multicare.org

Organizations & group practices 11

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 2

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1306353537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 42ND ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984662412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054933",
            "telephone_number": "253-426-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11315 Bridgeport Way SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984993004",
            "country_code": "US",
            "telephone_number": "253-985-1711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11567 Canterwood Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983325812",
            "country_code": "US",
            "telephone_number": "253-530-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34515 9th Ave S",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036761",
            "country_code": "US",
            "telephone_number": "253-944-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6240 Tacoma Mall Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984096819",
            "country_code": "US",
            "telephone_number": "253-271-9720",
            "fax_number": "253-212-3372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6912 220th St SW Ste 113",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980432174",
            "country_code": "US",
            "telephone_number": "425-553-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARSHAW",
        "first_name": "VICTORIA",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "TA.60822493",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60821431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.