NPIMap

Individual provider Active NPI

Katie Marie Lager, ARNP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1396417523
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61226619 Issued in WA
Practice address
1148 Broadway Ste 100
Tacoma, WA 98402-3518
Phone
(253) 722-2161
NPI assigned
Oct 5, 2021
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP1226619 WA
Nurse Practitioner 363L00000X RN61106884 WA
Nurse Practitioner 363L00000X AP61226619 WA Primary

Addresses

Primary practice location

1148 Broadway Ste 100
Tacoma, WA 98402-3518

Mailing address

1148 Broadway Ste 100
Tacoma, WA 98402-3518
Phone (253) 722-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414001401 WA Practitioner - Nurse Practitioner 4284020488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health CareGroup PAC ID 1850201559, 72 clinicians

Practice addresses (Care Compare)

15610 89TH St CT NW
Lakebay, WA 98349-9551
Phone (253) 597-4550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1226619WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care CurrentSince Jan 6, 2022 Accepting new patients
Community Health Care CurrentSince Jan 6, 2022 Accepting new patients
Community Health Care Past Accepting new patients

Locations

15610 89th Street Ct NW
Lakebay, WA 98349
Phone (253) 858-8555

134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304

1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742

1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA
  • Direct secure messaging: katie.lagerarnp.p1@direct.chc-tacoma.nextgenshare.com

Organizations & group practices 3

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 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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1396417523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 BROADWAY STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023518",
            "telephone_number": "253-722-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 BROADWAY STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023518",
            "telephone_number": "253-722-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGER",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP1226619",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "RN61106884",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61226619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.