Organization Active NPI

Premier Elite Health LLC

  • Primary Care Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1316717515
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PREMIER ELITE HEALTH LLC
Practice address
6816 S Alaska St Ste 3
Tacoma, WA 98408-1325
Phone
(253) 720-1889
NPI assigned
Jan 8, 2024
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Nakita Akil, ARNPNPI 1316487549
Title
Owner
Phone
(253) 720-1889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

6816 S Alaska St Ste 3
Tacoma, WA 98408-1325

Mailing address

6816 S Alaska St Ste 3
Tacoma, WA 98408-1325
Phone (253) 720-1889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240910001890 WA Part B Supplier - Clinic/Group Practice 1052851623 Receives reassigned benefits from 1 practitioner
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1316717515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6816 S ALASKA ST STE 3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081325",
            "telephone_number": "253-720-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 S ALASKA ST STE 3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081325",
            "telephone_number": "253-720-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ELITE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "AKIL",
        "authorized_official_first_name": "NAKITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-720-1889",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "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 Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.