Active NPI
Kimberly G. Jannison Darcey, P.A.
- Medical Physician Assistant
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10003817
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8349045 | Medicaid | WA |
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
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Current | 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.
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
dba Washington Gastroenterology Lab
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1467011122
-
dba Harrison Health Partners Family Medical Center
- Rural Health Clinic/Center
- Forks, WA
- NPI 1255616579
-
dba Sunrise Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Puyallup, WA
- NPI 1982853271
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Joseph Lab PAC LAB
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1659585370
Hospital
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
-
dba St Joseph Medical Center
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
dba St Anthony Hospital
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.