Individual provider Active NPI

Elaine Karen Byram, ARNP

  • Nurse Practitioner
  • University Place, WA
National Provider Identifier
1740610823
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60431471 Issued in WA
Practice address
2901 Bridgeport Way W
University Place, WA 98466-4614
Phone
(253) 534-7000
NPI assigned
Nov 26, 2013
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60431471 WA Primary
Adult Health Nurse Practitioner 363LA2200X AP60431471 WA
Gerontology Nurse Practitioner 363LG0600X AP60431471 WA
Primary Care Nurse Practitioner 363LP2300X AP60431471 WA

Addresses

Primary practice location

2901 Bridgeport Way W
University Place, WA 98466-4614

Mailing address

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-1962

Other identifiers 3

IdentifierTypeStateIssuer
336226OtherWAL&I PALLIATIVE
G8935978OtherWAMEDICARE
336224OtherWAL&I HOSPICE

Other names 1

  • Elaine Karen Green Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140210001930 WA Practitioner - Nurse Practitioner 8325277593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 426-6341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60431471WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Nov 14, 2019 Accepting new patients
Commonspirit Washington CurrentSince Dec 1, 2014 Accepting new patients
Franciscan Medical Group CurrentSince Nov 14, 2019 Accepting new patients
Commonspirit Washington CurrentSince Dec 1, 2014 Accepting new patients
Franciscan Health System Past Accepting new patients
Franciscan Medical Group Past Accepting new patients
Commonspirit Washington Past Accepting new patients

Locations

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 396-6700

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

1717 S J St
Fl 6
Tacoma, WA 98405
Phone (253) 426-6618

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

2901 Bridgeport Way W
University Place, WA 98466
Phone (253) 534-7000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1740610823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 14TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723770",
            "telephone_number": "253-697-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664614",
            "telephone_number": "253-534-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRAM",
        "first_name": "ELAINE",
        "middle_name": "KAREN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60431471",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60431471",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60431471",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60431471",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PALLIATIVE",
            "identifier": "336226",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8935978",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I HOSPICE",
            "identifier": "336224",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "GREEN",
            "middle_name": "KAREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.