Individual provider Active NPI

Norma Elizabeth Nunez-Dolmo, PA-C

  • Physician Assistant
  • Federal Way, WA
National Provider Identifier
1386952018
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60143642 Issued in WA
Practice address
30809 1St Ave S
Federal Way, WA 98003-4074
Phone
(253) 839-2030
Fax
(253) 839-1071
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA60143642 WA
Physician Assistant 363A00000X PA60143642 WA Primary

Addresses

Primary practice location

30809 1St Ave S
Federal Way, WA 98003-4074

Mailing address

30809 1St Ave S
Federal Way, WA 98003-4074
Phone (253) 839-2030

Other identifiers 1

IdentifierTypeStateIssuer
2009396MedicaidWA

Other names 1

  • Ms. Norma Elizabeth Nunez Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nnunezdolmo107173@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: 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
I20101105001238 WA Practitioner - Physician Assistant 7416142245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

30809 1St Ave S
Federal Way, WA 98003-4074
Phone (253) 945-8124

34503 9TH Ave S
Federal Way, WA 98003-8726

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60143642WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Apr 12, 2021 Accepting new patients
Franciscan Medical Group CurrentSince Oct 18, 2021 Accepting new patients
Neighborcare Health CurrentSince Apr 12, 2021 Accepting new patients
Franciscan Medical Group Physician Assistant Past Accepting new patients

Locations

30809 1st Ave S
#2601
Federal Way, WA 98003

30809 1st Ave S
Federal Way, WA 98003
Phone (253) 839-2030

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

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

Interoperability endpoints

  • Direct secure messaging: nnunezdolmo107173@fhsce.catholichealth.net

Organizations & group practices 8

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1386952018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30809 1ST AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034074",
            "telephone_number": "253-839-2030",
            "fax_number": "253-839-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30809 1ST AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034074",
            "telephone_number": "253-839-2030",
            "fax_number": "253-839-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ-DOLMO",
        "first_name": "NORMA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60143642",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60143642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009396",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnunezdolmo107173@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30809 1st Ave S",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980034074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NORMA",
            "last_name": "NUNEZ",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.