Active NPI
Annie Rose Boyd, APP
- Women's Health Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1881403293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP61624721
- Practice address
- 2102 N Pearl St Ste 405
Tacoma, WA 98406-2550 - Phone
- (253) 752-8822
- NPI assigned
- Jan 1, 2025
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP61624721 | WA | Primary |
Addresses
Primary practice location
2102 N Pearl St Ste 405
Tacoma, WA 98406-2550
Mailing address
4209 Lakeridge Dr E
Lake Tapps, WA 98391-6704
Phone (253) 820-6951
Other names 1
- Annie Rose Elias
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 |
|---|---|---|---|
| AP61624721 | WA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Womens Health | Past | Accepting new patients | |
| C&L PLLC | Family | Past | Accepting new patients |
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.
-
- Nurse Practitioner
- Tacoma, WA
- NPI 1144300989
-
- Family Nurse Practitioner
- Tacoma, WA
- NPI 1326525635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754092800000",
"number": "1881403293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 LAKERIDGE DR E",
"city": "LAKE TAPPS",
"state": "WA",
"postal_code": "983916704",
"telephone_number": "253-820-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 N PEARL ST STE 405",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062550",
"telephone_number": "253-752-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "ANNIE",
"middle_name": "ROSE",
"credential": "APP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-01",
"last_updated": "2025-08-02",
"certification_date": "2025-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP61624721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "ELIAS",
"middle_name": "ROSE",
"credential": "APP",
"code": "1",
"type": "Former Name"
}
]
}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 2, 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.