Active NPI
Yukari Fletcher, RN, ARNP
- Gerontology Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP60897193
- Practice address
- 1201 Pacific Ave Ste 400
Tacoma, WA 98402-4381 - Phone
- (253) 319-8146
- NPI assigned
- Jul 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9412327 | FL | |
| Nurse Practitioner | 363L00000X | AP60897193 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | AP60897193 | WA | Primary |
Addresses
Primary practice location
1201 Pacific Ave Ste 400
Tacoma, WA 98402-4381
Mailing address
1201 Pacific Ave Ste 400
Tacoma, WA 98402-4381
Phone (253) 300-8453
Other practice location 1
80 SW 2nd St
Renton, WA 98057-5937
Phone (253) 203-3131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2112833 | Medicaid | WA |
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
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6220 S Alaska St
Tacoma, WA 98408-1317
Phone (877) 883-9430
7900 Willows Rd NE
Redmond, WA 98052-6813
Phone (888) 408-7008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9412327 | FL | MD | Registered Nurse |
| AP60897193 | WA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Washington PLLC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
1919 112th St SW
Everett, WA 98204
Phone (425) 249-0024
80 SW 2nd St
Renton, WA 98057
Phone (425) 226-4510
820 NW 95th St
Seattle, WA 98117
Phone (206) 781-6800
2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200
414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1689160178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 PACIFIC AVE STE 400",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024381",
"telephone_number": "253-300-8453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 PACIFIC AVE STE 400",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024381",
"telephone_number": "253-319-8146"
}
],
"practiceLocations": [
{
"address_1": "80 SW 2nd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980575937",
"country_code": "US",
"telephone_number": "253-203-3131",
"fax_number": "253-397-3530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLETCHER",
"first_name": "YUKARI",
"name_prefix": "Mrs.",
"credential": "RN, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-08",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9412327",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60897193",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP60897193",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2112833",
"state": "WA"
}
],
"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 Mar 2, 2021; 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.