Individual provider Active NPI

Ana Amparo Penas Vasquez, ARNP

  • Family Health Clinical Nurse Specialist
  • Tacoma, WA
National Provider Identifier
1457795957
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
AP60084656 Issued in WA
Practice address
2505 South 38TH St
BLDG a Suite 109
Tacoma, WA 98409
Phone
(253) 274-3943
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X AP60084656 WA Primary

Addresses

Primary practice location

2505 South 38TH St
BLDG a Suite 109
Tacoma, WA 98409

Mailing address

5750 Troon Ave SW
Port Orchard, WA 98367-9187
Phone (360) 876-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180912003072 WA Practitioner - Nurse Practitioner 2264788561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Integrated Health LLCGroup PAC ID 9638444631, 5 clinicians

Practice addresses (Care Compare)

3640 S Cedar St
Suite M
Tacoma, WA 98409-5700
Phone (253) 478-0827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60084656WAMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Integrated Health LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

2601 Cherry Ave
Ste 115
Bremerton, WA 98310
Phone (360) 479-5990

3640 S Cedar St
Ste M
Tacoma, WA 98409
Phone (253) 426-8666

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1457795957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 TROON AVE SW",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679187",
            "telephone_number": "360-876-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SOUTH 38TH ST",
            "address_2": "BLDG A SUITE 109",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98409",
            "telephone_number": "253-274-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "ANA AMPARO",
        "middle_name": "PENAS",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "WA",
            "license": "AP60084656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.