Individual provider Active NPI

Sirfiati Garcia

  • Nurse Practitioner
  • Lacey, WA
National Provider Identifier
1801561725
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
61192860 Issued in WA
Practice address
4137 Campus Dr NE
Lacey, WA 98516-4000
Phone
(360) 528-7726
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 61192860 WA Primary

Addresses

Primary practice location

4137 Campus Dr NE
Lacey, WA 98516-4000

Mailing address

4137 Campus Dr NE
Lacey, WA 98516-4000
Phone (360) 528-7726

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
I20211103002138 WA Practitioner - Nurse Practitioner 2567850977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Rehabilitation Physicians LLCGroup PAC ID 7214334614, 44 clinicians

Practice addresses (Care Compare)

2508 7TH St SE
Puyallup, WA 98374-1105
Phone (801) 215-9309

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61192860WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Key Bridge Medical Clinic LLC CurrentSince Jul 14, 2023 Accepting new patients
Post Acute Rehabilitation Physicians LLC CurrentSince Dec 25, 2023 Accepting new patients

Locations

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

11318 Bridgeport Way SW
Ste A
Lakewood, WA 98499
Phone (253) 380-8905

2508 7th St SE
Puyallup, WA 98374
Phone (253) 841-6600

4430 Talbot Rd S
Renton, WA 98055
Phone (425) 226-7500

Organizations & group practices 2

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1801561725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4137 CAMPUS DR NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164000",
            "telephone_number": "360-528-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 CAMPUS DR NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164000",
            "telephone_number": "360-528-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SIRFIATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "61192860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.