Courtney Anne Albert, ARNP
Individual provider Active NPI Family Nurse Practitioner · Puyallup, WA
NPI 1497718316 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1497718316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP30006158 (WA)
- Practice address
- 11019 Canyon Rd E Ste a
Puyallup, WA 98373-3001 - Phone
- (253) 537-0293
- Fax
- (253) 537-7650
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-2130
317 Martin Luther King Jr Way
Tacoma, WA 98405-4234
317 MLK Jr Way
Multicare Social Work Serv
Tacoma, WA 98405-4234
Phone (253) 403-1126
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Multicare Good Samaritan Hospital
- Tacoma General Allenmore Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100727000994 | WA | Practitioner - Nurse Practitioner | 7113050196 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30006158 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Puyallup Endocrine & Nuclear Medicine Clinics | Past |
Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30006158 | WA | Yes |
Addresses
Primary practice location
11019 Canyon Rd E Ste a
Puyallup, WA 98373-3001
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (253) 537-0293
Other practice location 1
1011 E Main Ave
Suite 302
Puyallup, WA 98372
Phone (253) 841-2471
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9634288 | Medicaid | WA | |
| 500026705 | Other | RAILROAD MEDICARE |
Other providers in Puyallup, WA
- Nicholas Ainsworth
- Cassie Jean Ajer
- Diana Al Behadili
- Alaska Gardens
- Jordan Albano
- Albertsons LLC
- Ian Terrell Albright
- Caitlyn Raeann Alejo
- Taylor Jean Urbina Alejo
- Alexander Psychological Services, PLLC
All providers in Puyallup, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.