NPIMap

Individual provider Active NPI

Nancy Carr Pascua, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1780702399
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60268409 Issued in WA
Practice address
1601 NE Fourth Plain Blvd. BLDG 17, S
Suite B222
Vancouver, WA 98661
Phone
(360) 397-8484
Fax
(360) 993-3047
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00166024 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60268409 WA Primary

Addresses

Primary practice location

1601 NE Fourth Plain Blvd. BLDG 17, S
Suite B222
Vancouver, WA 98661

Mailing address

PO Box 1845
Vancouver, WA 98668-1845
Phone (360) 397-8484

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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00166024WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Mental Health Services of Washington Inc CurrentSince Apr 16, 2013 Accepting new patients
Telecare Mental Health Services of Washington, Inc CurrentSince Apr 16, 2013 Accepting new patients
Lifeline Connections CurrentSince Jan 1, 2021 Accepting new patients
Sea Mar Community Health Centers Current Accepting new patients
Lifeline Connections Medical Services CurrentSince Jan 1, 2021 Accepting new patients
Lifeline Connections Current Accepting new patients
Sea Mar Community Health Centers Psychiatric/Mental Health CurrentSince Jan 24, 2015 Accepting new patients
Telecare Mental Health Services of Washington, Inc Current Accepting new patients
Sea Mar Community Health Centers Registered Nurse CurrentSince Jan 24, 2015 Accepting new patients
Community Services Northwest Past Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

9601 Steilacoom Blvd SW
Bldg 27
Tacoma, WA 98498
Phone (253) 589-5334

7410 Delaware Ln
Vancouver, WA 98664
Phone (360) 566-4402

11719 NE 95th St
Ste Ad
Vancouver, WA 98682
Phone (360) 984-5511

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1780702399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986681845",
            "telephone_number": "360-397-8484",
            "fax_number": "360-993-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NE FOURTH PLAIN BLVD. BLDG 17, S",
            "address_2": "SUITE B222",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98661",
            "telephone_number": "360-397-8484",
            "fax_number": "360-993-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUA",
        "first_name": "NANCY",
        "middle_name": "CARR",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00166024",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60268409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.