Individual provider Active NPI

Felister W Gachoka, ARNP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1720331374
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60223719 Issued in WA
Practice address
1930 Port of Tacoma Rd
Tacoma, WA 98421-3707
Phone
(253) 274-5521
Fax
(253) 274-5525
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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 AP60223719 WA Primary

Addresses

Primary practice location

1930 Port of Tacoma Rd
Tacoma, WA 98421-3707

Mailing address

1930 Port of Tacoma Rd
Tacoma, WA 98421-3707
Phone (253) 274-5521

Other identifiers 1

IdentifierTypeStateIssuer
2045201MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fgachoka41923@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60223719WAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: fgachoka41923@fhsce.catholichealth.net

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1720331374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 PORT OF TACOMA RD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984213707",
            "telephone_number": "253-274-5521",
            "fax_number": "253-274-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PORT OF TACOMA RD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984213707",
            "telephone_number": "253-274-5521",
            "fax_number": "253-274-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACHOKA",
        "first_name": "FELISTER",
        "middle_name": "W",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60223719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045201",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fgachoka41923@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1930 Port Of Tacoma Rd",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984213707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.