Individual provider Active NPI

Catherine Nicole Jakeman, LMT, PA-C

  • Physician Assistant
  • Tacoma, WA
National Provider Identifier
1548544224
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60726547 Issued in WA
Practice address
5218 S Puget Sound Ave
Tacoma, WA 98409-4317
Phone
(253) 503-1733
Fax
(888) 864-8563
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 00018196 WA
Medical Physician Assistant 363AM0700X 60726547 WA
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 60726547 WA Primary

Addresses

Primary practice location

5218 S Puget Sound Ave
Tacoma, WA 98409-4317

Mailing address

5218 S Puget Sound Ave
Tacoma, WA 98409-4317
Phone (253) 503-1733

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
I20190528001466 WA Practitioner - Physician Assistant 6800139247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
00018196WAMDMassage Therapist
60726547WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Advanced Care - Washington PC Multi-Specialty PastSince Oct 21, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: catherine.jakemanpac.p1@direct.chc-tacoma.nextgenshare.com

Organizations & group practices 2

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": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1548544224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 S PUGET SOUND AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094317",
            "telephone_number": "253-503-1733",
            "fax_number": "888-864-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5218 S PUGET SOUND AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094317",
            "telephone_number": "253-503-1733",
            "fax_number": "888-864-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKEMAN",
        "first_name": "CATHERINE",
        "middle_name": "NICOLE",
        "credential": "LMT, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "00018196",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "60726547",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60726547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.