Individual provider Active NPI

Michelle Nmi Chiu, ARNP

  • Adult Health Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1780980888
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60169414 Issued in WA
Practice address
6401 Kimball Dr Ste 201
Gig Harbor, WA 98335-1228
Phone
(253) 853-8810
Fax
(253) 853-8820
NPI assigned
Feb 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP60169414 WA Primary
Family Nurse Practitioner 363LF0000X AP60169414 WA
Adult Health Nurse Practitioner 363LA2200X 201050120NP OR

Addresses

Primary practice location

6401 Kimball Dr Ste 201
Gig Harbor, WA 98335-1228

Mailing address

2202 S Cedar St Ste 100
Tacoma, WA 98405-2318
Phone (253) 627-2900

Other identifiers 2

IdentifierTypeStateIssuer
500632568MedicaidOR
2011880MedicaidWA

Other names 1

  • Ms. Michelle H Baker Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mchiu309730@fhsce.catholichealth.net Direct The Aesthetic Surgery Centre, PLLC

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
I20140908002041 WA Practitioner - Nurse Practitioner 8123203478 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60169414WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Aesthetic Surgery Centre, PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

2202 S Cedar St
Ste 100
Tacoma, WA 98405
Phone (253) 627-2900

2202 S Cedar St
Ste 150
Tacoma, WA 98405
Phone (253) 627-2900

Interoperability endpoints

  • Direct secure messaging: mchiu309730@fhsce.catholichealth.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1780980888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 S CEDAR ST STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052318",
            "telephone_number": "253-627-2900",
            "fax_number": "253-627-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 KIMBALL DR STE 201",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351228",
            "telephone_number": "253-853-8810",
            "fax_number": "253-853-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "MICHELLE",
        "middle_name": "NMI",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60169414",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60169414",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201050120NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500632568",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011880",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mchiu309730@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "The Aesthetic Surgery Centre, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2202 S Cedar St",
            "address_2": "Suite 100",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984052318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BAKER",
            "middle_name": "H",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.