Individual provider Active NPI

Alison Demiero, RN, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1750902383
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61358869 Issued in WA
Practice address
16521 84TH Avenue CT E
Puyallup, WA 98375-6294
Phone
(253) 330-9921
NPI assigned
May 5, 2020
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-81583-122 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61358869 WA Primary
Registered Nurse 163W00000X RN60306746 WA

Addresses

Primary practice location

16521 84TH Avenue CT E
Puyallup, WA 98375-6294

Mailing address

16521 84TH Avenue CT E
Puyallup, WA 98375-6294

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60306746WAMDRegistered Nurse
53-81583-122KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Therapeutic Services, PLLC Psychiatric/Mental Health CurrentSince Oct 2, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1750902383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16521 84TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 84TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756294",
            "telephone_number": "253-330-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIERO",
        "first_name": "ALISON",
        "credential": "RN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81583-122",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61358869",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60306746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.