Individual provider Active NPI

Ahlam Dakane, NP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1669103693
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61517465 Issued in WA
Practice address
630 N Fairview Dr
Tacoma, WA 98406-1015
Phone
(253) 642-4104
Fax
(206) 673-8050
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60647867 WA
Nurse Practitioner 363L00000X AP61517465 WA Primary

Addresses

Primary practice location

630 N Fairview Dr
Tacoma, WA 98406-1015

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

2902 NE 12th St Ste 102
Renton, WA 98056-3297
Phone (425) 882-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com

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
I20240524003565 WA Practitioner - Nurse Practitioner 8224470976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fandm Healthcare, LLCGroup PAC ID 8628462983, 30 clinicians

Practice addresses (Care Compare)

Tacoma, WA 98406
Phone (253) 777-1423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60647867WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
F&M Healthcare, LLC CurrentSince Apr 15, 2024 Accepting new patients
Summit Consulting for Post Acute Care LLC CurrentSince Dec 1, 2024 Accepting new patients
Aryyn PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

510 E Main
Puyallup, WA 98372
Phone (253) 325-1121

15127 Main St E
Unit 104
Sumner, WA 98390

6824 19th St W
#256
University Place, WA 98466
Phone (253) 777-1423

Organizations & group practices 3

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1669103693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N FAIRVIEW DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061015",
            "telephone_number": "253-642-4104",
            "fax_number": "206-673-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2902 NE 12th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980563297",
            "country_code": "US",
            "telephone_number": "425-882-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAKANE",
        "first_name": "AHLAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60647867",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61517465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords.healthpoint.p3@direct.hpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2902 NE 12th St Ste 102",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980563297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.