Active NPI
Mahareta Paubert Kaurin
- Licensed Practical Nurse
- Tacoma, WA
National Provider Identifier
1740151703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 60804192
- Practice address
- 910 130TH St E
Tacoma, WA 98445-2968 - Phone
- (206) 453-8529
- NPI assigned
- Sep 15, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 60804192 | WA | Primary |
Addresses
Primary practice location
910 130TH St E
Tacoma, WA 98445-2968
Mailing address
910 130TH St E
Tacoma, WA 98445-2968
Phone (206) 453-8529
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60804192 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1740151703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 130TH ST E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984452968",
"telephone_number": "206-453-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 130TH ST E",
"city": "TACOMA",
"state": "WA",
"postal_code": "984452968",
"telephone_number": "206-453-8529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAURIN",
"first_name": "MAHARETA",
"middle_name": "PAUBERT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-15",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "60804192",
"primary": true
}
],
"identifiers": [],
"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 Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.