Individual provider Active NPI

Kaylyn Nelson, PHARM.D.

  • Pharmacist
  • Tacoma, WA
National Provider Identifier
1629161211
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3560131701 Issued in UT
Practice address
9600 Veterans Drive
Pharmacy - 119
Tacoma, WA 98493-5000
Phone
(253) 582-8440
Fax
(253) 583-2399
NPI assigned
Oct 2, 2006
Last updated
Jun 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3560131701 UT Primary

Addresses

Primary practice location

9600 Veterans Drive
Pharmacy - 119
Tacoma, WA 98493-5000

Mailing address

9600 Veterans Drive
VA Puget Sound Healthcare System a-119
Lakewood, WA 98493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
3560131701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1629161211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 VETERANS DRIVE",
            "address_2": "VA PUGET SOUND HEALTHCARE SYSTEM A-119",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 VETERANS DRIVE",
            "address_2": "PHARMACY - 119",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984935000",
            "telephone_number": "253-582-8440",
            "fax_number": "253-583-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KAYLYN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "3560131701",
            "primary": true
        }
    ],
    "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 Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.