Active NPI
Alexandria Fappiano, PA-C
- Physician Assistant
- Tacoma, WA
National Provider Identifier
1821757188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61196493
- Practice address
- 9040A Jackson Ave
Tacoma, WA 98431-1602 - Phone
- (253) 968-1390
- NPI assigned
- Dec 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61196493 | WA | Primary |
Addresses
Primary practice location
9040A Jackson Ave
Tacoma, WA 98431-1602
Mailing address
121 349TH St S
Roy, WA 98580-8823
Phone (413) 439-5208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61196493 | WA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1821757188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 349TH ST S",
"city": "ROY",
"state": "WA",
"postal_code": "985808823",
"telephone_number": "413-439-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040A JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311602",
"telephone_number": "253-968-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAPPIANO",
"first_name": "ALEXANDRIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-14",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61196493",
"primary": true
}
],
"identifiers": [],
"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 Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.