Active NPI
Daniella Fremstad, D.O.
- General Practice Physician
- Tacoma, WA
National Provider Identifier
1457645319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 61193799
- Practice address
- Madigan Army Medical Center Pediatrics
Tacoma, WA 98431-0001 - Phone
- (253) 325-8520
- NPI assigned
- Jun 7, 2011
- Last updated
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 61193799 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Center Pediatrics
Tacoma, WA 98431-0001
Mailing address
9040 Jackson Ave
Mamc Credentials
Tacoma, WA 98431
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61193799 | WA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1457645319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"address_2": "MAMC CREDENTIALS",
"city": "TACOMA",
"state": "WA",
"postal_code": "98431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER PEDIATRICS",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001",
"telephone_number": "253-325-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREMSTAD",
"first_name": "DANIELLA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "61193799",
"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 Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.