Organization Active NPI

Nordhavn Plastic Surgery, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Gig Harbor, WA
National Provider Identifier
1871465666
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
NORDHAVN PLASTIC SURGERY, PLLC
Practice address
8522 46TH St NW
Gig Harbor, WA 98335-6148
Phone
(206) 302-8942
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Melissa Larsen, MDNPI 1386039154
Title
Plastic Surgeon
Phone
(206) 302-8942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

8522 46TH St NW
Gig Harbor, WA 98335-6148

Mailing address

8522 46TH St NW
Gig Harbor, WA 98335-6148
Phone (206) 302-8942

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1871465666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 46TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356148",
            "telephone_number": "206-302-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 46TH ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356148",
            "telephone_number": "206-302-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDHAVN PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "206-302-8942",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.