Thai Ly, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP61225098 Issued in WA

Practice address

2302 S Union Ave Ste 30
Tacoma, WA 98405-1361

Phone

(253) 365-8074

NPI assigned

Oct 6, 2021

Sex

Male

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holistic Health and Beyond PLLCGroup PAC ID 6901260652, 3 clinicians

Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
• Accentcare Home Health of Pierce County, LLC Home health agency, Tacoma, WA, CCN 507316
• Puget Sound Home Health Home health agency, Tacoma, WA, CCN 507101
• Signature Healthcare at Home Home health agency, Federal Way, WA, CCN 507110
• St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Holistic Health & Beyond PLLC

  • Health Service Clinic/Center
  • Tacoma, WA
  • NPI 1194403402
  Medicare reassignment Care Compare group NPD Authorized official
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Kalyan Dandala, MD PLLC

  • Addiction Psychiatry Physician
  • Renton, WA
  • NPI 1558600650
  NPD
• Prudent Medical Providers NW

  • Family Medicine Physician
  • Federal Way, WA
  • NPI 1699364455

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare Home Health of Pierce County, LLC

  • Home Health Agency
  • Tacoma, WA
  • NPI 1023860293
  Care Compare affiliation
• Franciscan Health System

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1124291117
  Care Compare affiliation
• Franciscan Health System

  • Clinical Medical Laboratory
  • Tacoma, WA
  • NPI 1659585370

  Hospital

  Care Compare affiliation
• Franciscan Health System

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1952309098
  Care Compare affiliation
• LHCG Lxiii, LLC

  • Home Health Agency
  • Mountlake Terrace, WA
  • NPI 1770998528
  Care Compare affiliation
• Maritime Healthcare LLC

  • Home Health Agency
  • Federal Way, WA
  • NPI 1518701168
  Care Compare affiliation
• Symbol Healthcare, Inc.

  • Home Health Agency
  • Tacoma, WA
  • NPI 1912242678
  Care Compare affiliation

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1346902509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE 30",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051361",
            "telephone_number": "253-365-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE 30",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051361",
            "telephone_number": "253-365-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "THAI",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61225098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc
• Luxottica of America Inc.
• Luxottica of America Inc.
• David D. Luxton, PHD
• Gabrielle C. Luzon, ARNP
• Lydie Adult Family Home LLC
• Lymphedema Therapy Services PLLC
• Laura M Lynam, M.D.
• Amber Lynch, LICSW
• Diane Lynch

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.