Individual provider Active NPI

Sidra Aele Ing

  • Peer Specialist
  • Tacoma, WA
National Provider Identifier
1346177763
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CG.70027770 Issued in WA
Practice address
917 Pacific Ave Ste 212
Tacoma, WA 98402-4433
Phone
(253) 480-5506
Fax
(253) 480-5507
NPI assigned
May 7, 2026
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CG.70027770 WA Primary
Counselor 101Y00000X CG.70027770 WA

Addresses

Primary practice location

917 Pacific Ave Ste 212
Tacoma, WA 98402-4433

Mailing address

11962 44TH Ave S
Tukwila, WA 98178-3477
Phone (253) 480-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CG.70027770WAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1346177763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11962 44TH AVE S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981783477",
            "telephone_number": "253-480-5506",
            "fax_number": "253-480-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 PACIFIC AVE STE 212",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024433",
            "telephone_number": "253-480-5506",
            "fax_number": "253-480-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ING",
        "first_name": "SIDRA",
        "middle_name": "AELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG.70027770",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG.70027770",
            "primary": false
        }
    ],
    "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 May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.