Active NPI
Suzanne Vail Wyman, RN,MHP
- Registered Nurse
- Tacoma, WA
National Provider Identifier
1760954481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00074419
- Practice address
- 3901 S Fife St Ste 301
Tacoma, WA 98409-7309 - Phone
- (253) 589-5334
- NPI assigned
- Dec 19, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00074419 | WA | Primary |
Addresses
Primary practice location
3901 S Fife St Ste 301
Tacoma, WA 98409-7309
Mailing address
3901 S Fife St Ste 301
Tacoma, WA 98409-7309
Phone (253) 589-5334
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00074419 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1760954481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 S FIFE ST STE 301",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097309",
"telephone_number": "253-589-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 S FIFE ST STE 301",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097309",
"telephone_number": "253-589-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMAN",
"first_name": "SUZANNE",
"middle_name": "VAIL",
"credential": "RN,MHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00074419",
"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 Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.