Active NPI
J E Parales Medical PLLC
- Primary Care Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1417603739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- J E PARALES MEDICAL PLLC
- Practice address
- 3716 Pacific Ave Ste D
Tacoma, WA 98418-7836 - Phone
- (253) 474-7719
- Fax
- (253) 471-8592
- NPI assigned
- Feb 24, 2022
- Last updated
- Feb 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Jelyn Engelhardt-Parales
- Title
- Owner
- Phone
- (253) 921-8109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
3716 Pacific Ave Ste D
Tacoma, WA 98418-7836
Mailing address
4936 40TH St NE
Tacoma, WA 98422-3028
Phone (253) 921-8109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Tacoma, WA
- NPI 1750046157
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1558409441
-
- General Practice Physician
- Tacoma, WA
- NPI 1255433132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645660800000",
"number": "1417603739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4936 40TH ST NE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984223028",
"telephone_number": "253-921-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3716 PACIFIC AVE STE D",
"city": "TACOMA",
"state": "WA",
"postal_code": "984187836",
"telephone_number": "253-474-7719",
"fax_number": "253-471-8592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J E PARALES MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A",
"authorized_official_last_name": "ENGELHARDT-PARALES",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "JELYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-921-8109"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"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 Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.