Active NPI
Darian J Hawke, DNP, PMHNP, ARNP,CEN
- Psychiatric/Mental Health Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1407553167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61478008
- Practice address
- 6704 Tacoma Mall Blvd Ste 111
Tacoma, WA 98409-9001 - Phone
- (253) 260-6521
- Fax
- (253) 397-3443
- NPI assigned
- Feb 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 116106 | HI | |
| Registered Nurse | 163W00000X | 217583 | AK | |
| Emergency Registered Nurse | 163WE0003X | RN60712454 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN-4371-0 | HI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 217615 | AK | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN60712454 | WA | |
| Plastic Surgery Registered Nurse | 163WS0121X | RN60712454 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61478008 | WA | Primary |
Addresses
Primary practice location
6704 Tacoma Mall Blvd Ste 111
Tacoma, WA 98409-9001
Mailing address
227 S 55TH St
Tacoma, WA 98408-6402
Phone (253) 301-8908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217583 | AK | MD | Registered Nurse |
| 116106 | HI | MD | Registered Nurse |
| RN60712454 | WA | MD | Adult Psychiatric/Mental Health Registered Nurse |
| APRN-4371-0 | HI | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61478008 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katie'S Way Tacoma, LLC | Current | Accepting new patients |
Locations
720 Poyntz Ave
Apt B
Manhattan, KS 66502
Phone (785) 320-6616
6704 Tacoma Mall Blvd
Ste 111
Tacoma, WA 98409
Phone (253) 260-3460
Organizations & group practices 1
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.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Tacoma, WA
- NPI 1285405522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1407553167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 S 55TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984086402",
"telephone_number": "253-301-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6704 TACOMA MALL BLVD STE 111",
"city": "TACOMA",
"state": "WA",
"postal_code": "984099001",
"telephone_number": "253-260-6521",
"fax_number": "253-397-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKE",
"first_name": "DARIAN",
"middle_name": "J",
"credential": "DNP, PMHNP, ARNP,CEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-13",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "116106",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AK",
"license": "217583",
"primary": false
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "WA",
"license": "RN60712454",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "HI",
"license": "APRN-4371-0",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AK",
"license": "217615",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "WA",
"license": "RN60712454",
"primary": false
},
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "WA",
"license": "RN60712454",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61478008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.