Active NPI
Nurse Practitioners Northwest, PLLC
- Gerontology Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP30001790
- Legal business name
- NURSE PRACTITIONERS NORTHWEST, PLLC
- Practice address
- 5115 Beverly Avenue NE
Tacoma, WA 98422-1823 - Phone
- (253) 797-6239
- Fax
- (253) 927-2119
- NPI assigned
- Dec 11, 2009
- Last updated
- Jul 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Elvira Sackmann, ARNP
- Title
- Owner
- Phone
- (253) 797-6239
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP30001790 | WA | Primary |
Addresses
Primary practice location
5115 Beverly Avenue NE
Tacoma, WA 98422-1823
Mailing address
PO Box 23838
Federal Way, WA 98093-0838
Phone (253) 797-6239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005946 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
630 S Pearl St
Tacoma, WA 98465
Phone (253) 564-7111
3625 Drexler Dr W
University Place, WA 98466
Phone (253) 460-3330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gerontology Nurse Practitioner
- Tacoma, WA
- NPI 1801814579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277942400000",
"number": "1790014223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23838",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980930838",
"telephone_number": "253-797-6239",
"fax_number": "253-927-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 BEVERLY AVENUE NE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984221823",
"telephone_number": "253-797-6239",
"fax_number": "253-927-2119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE PRACTITIONERS NORTHWEST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-11",
"last_updated": "2010-07-01",
"status": "A",
"authorized_official_last_name": "SACKMANN",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "ELVIRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-797-6239",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP30001790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2005946",
"state": "WA"
}
],
"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 Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.