Active NPI
Alimatou Moustapha, ARNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Lakewood, WA
National Provider Identifier
1316588619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60702851
- Practice address
- 9601 Steilacoom Blvd SW
Lakewood, WA 98498-7212 - Phone
- (253) 582-8900
- NPI assigned
- Oct 8, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60702851 | WA | Primary |
Addresses
Primary practice location
9601 Steilacoom Blvd SW
Lakewood, WA 98498-7212
Mailing address
26236 33Rd Ave S
Kent, WA 98032-7055
Phone (206) 683-0540
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Lakes Mental Health Foundation Inc | Current | Accepting new patients | |
| Telecare Mental Health Services of Washington Inc | Current | Accepting new patients | |
| Telecare Mental Health Services of Washington, Inc | Current | Accepting new patients | |
| Telecare Mental Health Services of Washington, Inc. | Current | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
322 S Birch St
McCleary, WA 98557
Phone (360) 205-4750
9601 Steilacoom Blvd SW
Bldg 27
Tacoma, WA 98498
Phone (253) 589-5334
9330 59th Ave SW
Tacoma, WA 98499
Phone (253) 581-7020
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 and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Lakewood, WA
- NPI 1225039811
-
- Psychiatric Residential Treatment Facility
- Tacoma, WA
- NPI 1780913657
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1902540362
-
- Mental Illness Community Based Residential Treatment Facility
- Sedro Woolley, WA
- NPI 1659758639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1316588619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26236 33RD AVE S",
"city": "KENT",
"state": "WA",
"postal_code": "980327055",
"telephone_number": "206-683-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984987212",
"telephone_number": "253-582-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSTAPHA",
"first_name": "ALIMATOU",
"name_prefix": "Ms.",
"credential": "ARNP, PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-08",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60702851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.