Individual provider Active NPI

Karen Davis Tosh, NP

  • Primary Care Nurse Practitioner
  • Centralia, WA
National Provider Identifier
1609386226
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP60865821 Issued in WA
Practice address
1815 Cooks Hill Rd Ste B
Centralia, WA 98531-9170
Phone
(360) 807-5029
Fax
(360) 807-5051
NPI assigned
Oct 10, 2017
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 243380 GA
Primary Care Nurse Practitioner 363LP2300X AP60865821 WA Primary

Addresses

Primary practice location

1815 Cooks Hill Rd Ste B
Centralia, WA 98531-9170

Mailing address

1815 Cooks Hill Rd Ste B
Centralia, WA 98531-9170
Phone (360) 807-5029

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
I20190114000185 WA Practitioner - Nurse Practitioner 4789938671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Medical Center Specialty Physicians LLCGroup PAC ID 2567651771, 103 clinicians

Practice addresses (Care Compare)

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243380GAMDPrimary Care Nurse Practitioner
AP60865821WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Oct 15, 2025 Accepting new patients
Mso Washington, Inc. CurrentSince Nov 6, 2020 Accepting new patients

Locations

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

4901 108th St SW
Tacoma, WA 98499
Phone (253) 584-3577

4903 108th St SW
Tacoma, WA 98499
Phone (253) 584-3577

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1609386226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 COOKS HILL RD STE B",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319170",
            "telephone_number": "360-807-5029",
            "fax_number": "360-807-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 COOKS HILL RD STE B",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319170",
            "telephone_number": "360-807-5029",
            "fax_number": "360-807-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOSH",
        "first_name": "KAREN",
        "middle_name": "DAVIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "243380",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60865821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.