NPIMap

Individual provider Active NPI

Ashley Pattengale, ARNP, FNP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1326504457
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61111203 Issued in WA
Practice address
1624 S I St Ste 204
Tacoma, WA 98405-5092
Phone
(253) 752-8882
Fax
(253) 590-0260
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61111203 WA Primary

Addresses

Primary practice location

1624 S I St Ste 204
Tacoma, WA 98405-5092

Mailing address

1624 S I St Ste 204
Tacoma, WA 98405-5092
Phone (253) 752-8882

Other identifiers 1

IdentifierTypeStateIssuer
2211125MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apattengale501649@fhsce.catholichealth.net Direct Franciscan Medical Group

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
I20220722001131 WA Practitioner - Nurse Practitioner 8224419130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1624 S I St
Suite 204
Tacoma, WA 98405-5092
Phone (206) 965-4200

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Jun 20, 2022 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Jun 20, 2022 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

34503 9th Ave S
Ste 320
Federal Way, WA 98003
Phone (253) 627-2900

15214 Canyon Rd E
Ste 205
Puyallup, WA 98375
Phone (253) 539-4200

1624 S I St
Ste 204
Tacoma, WA 98405
Phone (253) 272-8441

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

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

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.

Hospital & facility affiliations 6

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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1326504457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S I ST STE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055092",
            "telephone_number": "253-752-8882",
            "fax_number": "253-590-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S I ST STE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055092",
            "telephone_number": "253-752-8882",
            "fax_number": "253-590-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTENGALE",
        "first_name": "ASHLEY",
        "credential": "ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61111203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2211125",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apattengale501649@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1624 S I St Ste 204",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.