Individual provider Active NPI

Airra Haroldson

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1487317939
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61493389 Issued in WA
Practice address
2102 N Pearl St Ste 405
Tacoma, WA 98406-2550
Phone
(253) 752-5400
NPI assigned
Oct 20, 2021
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61493389 WA Primary
Registered Nurse 163W00000X 60017434 WA

Addresses

Primary practice location

2102 N Pearl St Ste 405
Tacoma, WA 98406-2550

Mailing address

16723 SE 251St PL
Covington, WA 98042-5230
Phone (253) 740-1579

Other practice location 1

27317 Maple Valley Black Diamond Rd SE Ste A110
Maple Valley, WA 98038-5158
Phone (425) 200-4546

Other practice location 2

16723 SE 251st Pl
Covington, WA 98042-5230
Phone (253) 239-3191

Other practice location 3

22620 SE 216th Pl Ste E
Maple Valley, WA 98038-6327
Phone (425) 200-4546

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
I20231228003472 WA Practitioner - Nurse Practitioner 1850741158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians

Practice addresses (Care Compare)

31833 B Gateway Ctr Blvd S
Federal Way, WA 98003-5616
Phone (253) 214-1920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60017434WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pacmed Clinics Current Accepting new patients
Pacmed Clinics CurrentSince Apr 6, 2025 Accepting new patients
Pacmed Clinics CurrentSince Apr 6, 2025 Accepting new patients
Rainier Foot and Ankle Associates,PLLC CurrentSince Dec 1, 2023 Accepting new patients
Advanced Womens Health Past Accepting new patients
C&L PLLC Family Past Accepting new patients

Locations

1145 Cole St
Enumclaw, WA 98022
Phone (360) 761-1285

31833 Gateway Center Blvd S
#B
Federal Way, WA 98003
Phone (253) 214-1920

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

Interoperability endpoints

  • Direct secure messaging: advancedwomenshealth.airraharoldson@139615.advancedmd-direct.com
  • Direct secure messaging: aharoldson1052248@wm.providencedirect.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1487317939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16723 SE 251ST PL",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980425230",
            "telephone_number": "253-740-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N PEARL ST STE 405",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062550",
            "telephone_number": "253-752-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27317 Maple Valley Black Diamond Rd SE Ste A110",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980385158",
            "country_code": "US",
            "telephone_number": "425-200-4546",
            "fax_number": "425-523-9167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16723 SE 251st Pl",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "WA",
            "postal_code": "980425230",
            "country_code": "US",
            "telephone_number": "253-239-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22620 SE 216th Pl Ste E",
            "address_purpose": "LOCATION",
            "city": "Maple Valley",
            "state": "WA",
            "postal_code": "980386327",
            "country_code": "US",
            "telephone_number": "425-200-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAROLDSON",
        "first_name": "AIRRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61493389",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60017434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.