Individual provider Active NPI

Kimberly G. Jannison Darcey, P.A.

  • Medical Physician Assistant
  • Tacoma, WA
National Provider Identifier
1568516219
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10003817 Issued in WA
Practice address
3209 S 23Rd St
Suite 340
Tacoma, WA 98405-1602
Phone
(253) 272-5127
Fax
(253) 272-0811
NPI assigned
Jan 22, 2007
Last updated
Apr 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10003817 WA Primary

Addresses

Primary practice location

3209 S 23Rd St
Suite 340
Tacoma, WA 98405-1602

Mailing address

2420 S Union Ave
Ste 200
Tacoma, WA 98405-1322
Phone (253) 272-8148

Other identifiers 1

IdentifierTypeStateIssuer
8349045MedicaidWA

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
I20050826000507 WA Practitioner - Physician Assistant 0446281687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

Practice addresses (Care Compare)

1703 S Meridian
Puyallup, WA 98371-7590
Phone (253) 841-3933

1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 459-6633

2202 S Cedar St
Suite 330
Tacoma, WA 98405-2318
Phone (253) 272-5127

2727 Hollycroft St
Suite 380
Gig Harbor, WA 98335-1346
Phone (253) 858-0112

3209 S 23Rd St
Tacoma, WA 98405-1602
Phone (253) 272-5127

3261 NW Mount Vintage Way
Suite 221
Silverdale, WA 98383-6039
Phone (360) 792-9118

33915 1St Way S
Federal Way, WA 98003-6396
Phone (253) 838-9839

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Gastroenterology PLLC CurrentSince Jan 1, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Nov 3, 2012 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Nov 3, 2012 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Jan 1, 2018 Accepting new patients
Harrison Medical Center Past Accepting new patients
Western Washington Endoscopy Centers LLC Past Accepting new patients

Locations

33915 1st Way S
Ste 200
Federal Way, WA 98003
Phone (253) 838-9839

2727 Hollycroft St
Ste 380
Gig Harbor, WA 98335
Phone (253) 858-0112

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

1446 Spaulding Ave
Richland, WA 99352
Phone (509) 420-4588

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

10452 Silverdale Way NW
Silverdale, WA 98383
Phone (360) 307-7300

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1901 S Union Ave
Ste B4006
Tacoma, WA 98405
Phone (253) 383-8342

1901 S Union Ave
Ste B6010
Tacoma, WA 98405
Phone (206) 383-4721

2202 S Cedar St
Ste 330
Tacoma, WA 98405
Phone (253) 503-2547

3209 S 23rd St
Ste 340
Tacoma, WA 98405
Phone (253) 272-8148

5821 S Sprague Ct
Tacoma, WA 98409
Phone (253) 396-4200

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1568516219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S UNION AVE",
            "address_2": "STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051322",
            "telephone_number": "253-272-8148",
            "fax_number": "253-404-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 S 23RD ST",
            "address_2": "SUITE 340",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051602",
            "telephone_number": "253-272-5127",
            "fax_number": "253-272-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNISON DARCEY",
        "first_name": "KIMBERLY",
        "middle_name": "G.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8349045",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.