Mandy Chamberlain, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60781238 Issued in WA

Practice address

1812 S J St
Tacoma, WA 98405-4964

Phone

(253) 552-4900

NPI assigned

Aug 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mchamberlain227104@ghc.direct-ci.net

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.

• American Current Care of Washington, P.S.

  • Urgent Care Clinic/Center
  • Seattle, WA
  • NPI 1073096871
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1396810701
  Medicare reassignment NPD
• American Current Care of Washington, P.S.

  • Urgent Care Clinic/Center
  • Spokane, WA
  • NPI 1881177681
  NPD
• Kaiser Foundation Health Plan of Washington

  • Multi-Specialty Clinic/Center
  • Everett, WA
  • NPI 1386935351
  NPD
• American Current Care of Washington, P.S.

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1962984492
  NPD

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550966400000",
    "number": "1346765773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17254 140TH AVE SE",
            "address_2": "FAIRWOOD CARE CLINIC",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98058",
            "telephone_number": "800-722-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054964",
            "telephone_number": "253-552-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "MANDY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2019-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60781238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Robert Chalmers, DO
• Amy Chaloux, CRNA
• Ingrid A. Chamales, MD
• Andrea Chamberlain
• Joshua Chamberlain
• Erin Rebecca Chamberlin
• Ashleigh Chambers
• Aubree Britt Chambers
• Duncan A Chambers
• Susan Eileen Chambers, RN

• Family Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.