Gerald Little, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Tacoma, WA
NPI 1750320396 · NPPES record last updated Apr 1, 2008
Key facts
- NPI
- 1750320396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP30007357 (WA)
- Practice address
- 9600 Veterans Drive
Tacoma, WA 98493-0001 - Phone
- (253) 582-8440
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200424002375 | TX | Order and Referring Only - Nurse Practitioner | 4486692407 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FMC Medical Foundation, Inc | Family | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30007357 | WA | Yes |
Addresses
Primary practice location
9600 Veterans Drive
Tacoma, WA 98493-0001
Mailing address
9600 Veterans Drive
Tacoma, WA 98493-0001
Phone (253) 582-8440
Other providers in Tacoma, WA
- Steven H Litsky
- Luke Little Moon
- Diana Michelle Little
- Dustin Little
- Emily Kim Little
- Inez Little
- Megan Little
- Naiomi Len'Ee Little
- Andrea Litton
- Beth B Liu
All providers in Tacoma, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.