Individual provider Active NPI

Darian J Hawke, DNP, PMHNP, ARNP,CEN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1407553167
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61478008 Issued in WA
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

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241108000400 AK Practitioner - Nurse Practitioner 9335673797
I20250217002392 WA Practitioner - Nurse Practitioner 9335673797 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217583AKMDRegistered Nurse
116106HIMDRegistered Nurse
RN60712454WAMDAdult Psychiatric/Mental Health Registered Nurse
APRN-4371-0HIMDPsychiatric/Mental Health Nurse Practitioner
AP61478008WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Katie'S Way Tacoma, LLC CurrentSince Jan 7, 2025 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.

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

Verify at the official NPI Registry.