Active NPI
Ana Amparo Penas Vasquez, ARNP
- Family Health Clinical Nurse Specialist
- Tacoma, WA
National Provider Identifier
1457795957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- AP60084656
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP60084656 | WA | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Integrated Health LLC | Current | 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.
-
- Addiction Medicine (Internal Medicine) Physician
- Tacoma, WA
- NPI 1558885210
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.