Active NPI
Nicholas Scott Harrison, PA-C A,T.,C
- Physician Assistant
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.PA.60173835
- Practice address
- 1724 W Union Ave
Tacoma, WA 98405-2099 - Phone
- (253) 830-5200
- Fax
- (253) 752-1160
- NPI assigned
- Apr 26, 2007
- Last updated
- Oct 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.PA.60173835 | WA | Primary |
| Athletic Trainer | 2255A2300X | A160047664 | WA |
Addresses
Primary practice location
1724 W Union Ave
Tacoma, WA 98405-2099
Mailing address
805 Madison St
Suite 901
Seattle, WA 98104-1172
Phone (206) 264-8100
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A160047664 | WA | MD | Athletic Trainer |
| PA.PA.60173835 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients |
Locations
16122 8th Ave SW
Ste D1
Burien, WA 98166
Phone (206) 241-7146
1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- nicholas.harrison.p73@direct.proliance.nextgenshare.com
Organizations & group practices 4
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.
-
- Trauma Surgery Physician
- Tacoma, WA
- NPI 1215711023
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance Surgeons Skagit Northwest Orthopedics
- Multi-Specialty Clinic/Center
- Anacortes, WA
- NPI 1467883116
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
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": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1619197449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 MADISON ST",
"address_2": "SUITE 901",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041172",
"telephone_number": "206-264-8100",
"fax_number": "206-264-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 W UNION AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052099",
"telephone_number": "253-830-5200",
"fax_number": "253-752-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "NICHOLAS",
"middle_name": "SCOTT",
"credential": "PA-C A,T.,C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA.PA.60173835",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A160047664",
"primary": false
}
],
"identifiers": [],
"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 Oct 21, 2011; 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.