Active NPI
Richard K Rawls, NP
- Nurse Practitioner
- Gig Harbor, WA
National Provider Identifier
1679659064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30006311
- Practice address
- 6401 Kimball Dr
Gig Harbor, WA 98335-1228 - Phone
- (253) 858-9192
- Fax
- (253) 858-4348
- NPI assigned
- Oct 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30006311 | WA | Primary |
Addresses
Primary practice location
6401 Kimball Dr
Gig Harbor, WA 98335-1228
Mailing address
6401 Kimball Dr
Gig Harbor, WA 98335-1228
Phone (253) 858-9192
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0228517 | Other | WA | STATE L&I |
| 0231131 | Other | WA | STATE L&I |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30006311 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Sound Emergency Physicians, PLLC | Past | Accepting new patients | |
| Grays Harbor County Public Hospital District No. 1 | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Summit Pacific Wellness Clinic
- Rural Health Clinic/Center
- Elma, WA
- NPI 1811025216
-
- Emergency Medicine Physician
- Silverdale, WA
- NPI 1568489243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1679659064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 KIMBALL DR",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351228",
"telephone_number": "253-858-9192",
"fax_number": "253-858-4348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 KIMBALL DR",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351228",
"telephone_number": "253-858-9192",
"fax_number": "253-858-4348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLS",
"first_name": "RICHARD",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30006311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0228517",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0231131",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "6401 Kimball Dr",
"city": "Gig Harbor",
"state": "WA",
"country_code": "US",
"postal_code": "983351228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.