Individual provider Active NPI

Rose Marie Sessoms, M.D.,M.PH.

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1437127743
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0293196 Issued in WA
Practice address
3800 3Rd St SE
Puyallup, WA 98374-1109
Phone
(253) 503-0226
NPI assigned
Mar 10, 2006
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0293196 WA Primary

Addresses

Primary practice location

3800 3Rd St SE
Puyallup, WA 98374-1109

Mailing address

17011 Birdsong LN SE
PO Box 2910
Yelm, WA 98597-7937
Phone (360) 894-6986

Other practice location 1

Madigan Army Medical Center
MCHJ-Mim
Tacoma, WA 98431-0001
Phone (253) 968-6583

Other identifiers 1

IdentifierTypeStateIssuer
8288482MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0293196WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Care, LLC PastSince Aug 1, 2022 Accepting new patients
Rainier Internal Medicine LLC PastSince Oct 2, 2018 Accepting new patients
Salmon Creek Family Practice Past Accepting new patients
Premier Physical Medicine & Rehabilitation, LLC. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15701/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1437127743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 BIRDSONG LN SE",
            "address_2": "PO BOX 2910",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977937",
            "telephone_number": "360-894-6986",
            "fax_number": "360-894-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 3RD ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741109",
            "telephone_number": "253-503-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Madigan Army Medical Center",
            "address_2": "MCHJ-MIM",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984310001",
            "country_code": "US",
            "telephone_number": "253-968-6583",
            "fax_number": "253-968-2972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SESSOMS",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "0293196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8288482",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.