Individual provider Active NPI

Baby Nellie Tamayo, FNP-C

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1376081836
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60729897 Issued in WA
Practice address
10021 12TH Ave S
Tacoma, WA 98444-4106
Phone
(253) 302-5926
NPI assigned
Feb 5, 2017
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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 AP60729897 WA Primary

Addresses

Primary practice location

10021 12TH Ave S
Tacoma, WA 98444-4106

Mailing address

4303 Bridgeport Way W
University Place, WA 98466-4334

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170602002175 WA Practitioner - Nurse Practitioner 1850668369 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VM Provision Care LLCGroup PAC ID 7911339130, 4 clinicians

Practice addresses (Care Compare)

1614 S Mildred St
Suite B
Tacoma, WA 98465-1626
Phone (253) 287-0909

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60729897WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Rehabilitation Physicians LLC CurrentSince Sep 1, 2023 Accepting new patients
VM Provision Care LLC CurrentSince Jun 20, 2025 Accepting new patients
Multicare Health System CurrentSince May 15, 2017 Accepting new patients
Multicare Health System Current Accepting new patients
Bastion Health PC Family CurrentSince Oct 11, 2022 Accepting new patients
Multicare Health System CurrentSince May 15, 2017 Accepting new patients

Locations

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

4430 Talbot Rd S
Renton, WA 98055
Phone (425) 226-7500

1614 S Mildred St
Ste B
Tacoma, WA 98465
Phone (253) 219-4333

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

3640 S Cedar St
Ste O
Tacoma, WA 98409
Phone (253) 651-2498

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1486252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1376081836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 12TH AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444106",
            "telephone_number": "253-302-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "BABY NELLIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-05",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60729897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.