Individual provider Active NPI

Holly L Torgerson, ARNP

  • Family Nurse Practitioner
  • Lakewood, WA
National Provider Identifier
1689854937
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007874 Issued in WA
Practice address
10510 Gravelly Lake Dr SW
Lakewood, WA 98499-5036
Phone
(253) 589-7030
Fax
(253) 589-7033
NPI assigned
Nov 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30007874 WA Primary

Addresses

Primary practice location

10510 Gravelly Lake Dr SW
Lakewood, WA 98499-5036

Mailing address

1019 Pacific Ave Ste 300
Attn: HR
Tacoma, WA 98402-4488
Phone (253) 722-1540

Other identifiers 2

IdentifierTypeStateIssuer
9654849MedicaidWA
P00601269OtherWAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080212000172 WA Practitioner - Nurse Practitioner 5698858819 Reassigns benefits to 1 organization
I20260521003647 ID Practitioner - Nurse Practitioner 5698858819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health CareGroup PAC ID 1850201559, shared by 13 NPIs, 72 clinicians
MVH BMC LLCGroup PAC ID 2961791991, 14 clinicians

Practice addresses (Care Compare)

10510 Gravelly Lake Dr SW
Lakewood, WA 98499-5036
Phone (253) 589-7030

134 188TH St S
Spanaway, WA 98387-4618
Phone (253) 847-2304

1441 Pkwy Dr
Blackfoot, ID 83221-1667
Phone (208) 785-2600

Hospital & facility affiliations

  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care CurrentSince Jul 30, 2015 Accepting new patients
Community Health Care CurrentSince Jul 30, 2015 Accepting new patients

Locations

134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304

101 E 26th St
Tacoma, WA 98421
Phone (253) 579-4550

1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742

1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742

11225 Pacific Ave S
Tacoma, WA 98444
Phone (253) 536-2020

10510 Gravelly Lake Dr SW
Tacoma, WA 98499
Phone (253) 589-7030

1708 E 44th St
Tacoma, WA 98404
Phone (253) 471-4553

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: isaura.torresarnp.p1@direct.chc-tacoma.nextgenshare.com
  • Direct secure messaging: holly.torgersonarnp.p1@direct.chc-tacoma.nextgenshare.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1194134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1689854937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PACIFIC AVE STE 300",
            "address_2": "ATTN: HR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024488",
            "telephone_number": "253-722-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 GRAVELLY LAKE DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984995036",
            "telephone_number": "253-589-7030",
            "fax_number": "253-589-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORGERSON",
        "first_name": "HOLLY",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-04",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9654849",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00601269",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.