Individual provider Active NPI

Destiny Rose Lett, FNP-C

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1578021481
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60920614 Issued in WA
Practice address
2505 S 38TH St
Tacoma, WA 98409-7372
Phone
(253) 274-3943
Fax
(253) 274-2948
NPI assigned
Mar 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60920614 WA Primary

Addresses

Primary practice location

2505 S 38TH St
Tacoma, WA 98409-7372

Mailing address

1911 198TH St E
Spanaway, WA 98387-4146
Phone (714) 421-1427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, ID, CA, UT5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200427001750 WA Practitioner - Nurse Practitioner 7113357500 Reassigns benefits to 2 organizations
I20250606002441 OR Practitioner - Nurse Practitioner 7113357500 Reassigns benefits to 2 organizations
I20250702000558 ID Practitioner - Nurse Practitioner 7113357500 Reassigns benefits to 1 organization
I20250717003246 CA Practitioner - Nurse Practitioner 7113357500 Reassigns benefits to 1 organization
I20250801001009 UT Practitioner - Nurse Practitioner 7113357500 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60920614WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santibanez Pac Utah CurrentSince Apr 19, 2025 Accepting new patients
Post Acute Medical PLLC Internal Medicine CurrentSince May 28, 2023 Accepting new patients
Altea Medical California PC Internal Medicine CurrentSince May 4, 2025 Accepting new patients
Altea Medical Washington PLLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Altea Medical Oregon LLC Internal Medicine CurrentSince Mar 28, 2025 Accepting new patients
Santibanez Pac Idaho CurrentSince Apr 30, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 723-2442

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

9107 Davis Rd
Stockton, CA 95209
Phone (209) 478-6488

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

2200 Tuolumne St
Vallejo, CA 94589
Phone (707) 644-7401

535 Auto Center Dr
Watsonville, CA 95076
Phone (831) 724-0875

840 E Elva St
Idaho Falls, ID 83401
Phone (208) 523-4795

1250 SE Roberts Ave
Gresham, OR 97080
Phone (503) 667-5430

530 Birch St
Junction City, OR 97448
Phone (541) 998-2395

637 Ash St
Myrtle Point, OR 97458
Phone (541) 572-2066

127 NE 102nd Ave
Ste A
Portland, OR 97220
Phone (541) 998-2395

1992 S Columbia Ln
Orem, UT 84097
Phone (801) 724-6500

451 E Bishop Federal Ln
South Salt Lake, UT 84115
Phone (801) 487-7557

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552176000000",
    "number": "1578021481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 198TH ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983874146",
            "telephone_number": "714-421-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 38TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097372",
            "telephone_number": "253-274-3943",
            "fax_number": "253-274-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETT",
        "first_name": "DESTINY",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-10",
        "last_updated": "2019-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60920614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.