Individual provider Active NPI

Takeisha Ewing

  • Family Nurse Practitioner
  • Aberdeen, WA
National Provider Identifier
1801473509
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP70041628 Issued in WA
Practice address
1813 Sumner Ave
Aberdeen, WA 98520-4600
Phone
(360) 538-1293
NPI assigned
Mar 27, 2021
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP70041628 WA Primary
Family Nurse Practitioner 363LF0000X F347386-01 NY

Addresses

Primary practice location

1813 Sumner Ave
Aberdeen, WA 98520-4600

Mailing address

PO Box 1443
Buffalo, NY 14240-1443
Phone (716) 715-9889

Other practice location 1

701 Seneca St Unit 646C
Buffalo, NY 14210-1351
Phone (716) 995-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210625000925 NY Practitioner - Nurse Practitioner 5193126316 Reassigns benefits to 1 organization
I20230531000018 TX Practitioner - Nurse Practitioner 5193126316 Reassigns benefits to 1 organization
I20251205001561 WA Practitioner - Nurse Practitioner 5193126316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

1813 Sumner Ave
Aberdeen, WA 98520-4600
Phone (360) 538-1293

3030 Limited LN NW
Olympia, WA 98502-2704
Phone (360) 491-1399

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F347386-01NYMDFamily Nurse Practitioner
AP70041628WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Medicine Services, Inc. CurrentSince Nov 20, 2024 Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince May 3, 2023 Accepting new patients
Sea Mar Community Health Centers Family CurrentSince Sep 21, 2025 Accepting new patients
Sea Mar Community Health Centers CurrentSince Sep 21, 2025 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

4498 Main St
Ste 23
Buffalo, NY 14226

462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803

1813 Sumner Ave
Aberdeen, WA 98520
Phone (360) 538-1293

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

Interoperability endpoints

  • Direct secure messaging: tewing@landmarkhealth-direct.org
  • Direct secure messaging: tewing324301@direct-ucsfmedicalcenter.org
  • Direct secure messaging: tewing858797@direct.multicare.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1801473509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1443",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142401443",
            "telephone_number": "716-715-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 SUMNER AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204600",
            "telephone_number": "360-538-1293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Seneca St Unit 646C",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142101351",
            "country_code": "US",
            "telephone_number": "716-995-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWING",
        "first_name": "TAKEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70041628",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347386-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.