Active NPI
Edith Trites Kroha, ARNP
- Family Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1881848653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60045369
- Practice address
- 1708 Yakima Ave
Suite 105
Tacoma, WA 98405-5307 - Phone
- (253) 426-4420
- Fax
- (253) 426-4383
- NPI assigned
- Nov 6, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60045369 | WA | Primary |
Addresses
Primary practice location
1708 Yakima Ave
Suite 105
Tacoma, WA 98405-5307
Mailing address
1708 Yakima Ave
Suite 105
Tacoma, WA 98405-5307
Phone (253) 426-4420
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9659863 | Medicaid | WA | |
| 0243565 | Other | WA | L & I |
| 0243567 | Other | WA | L & I |
| 8949783 | Other | WA | CRIME VICTIMS |
| G8877724 | Other | WA | MEDICARE |
| P00846069 | Other | WA | RAILROAD |
| G8877706 | Other | WA | MEDICARE |
| 0243569 | Other | WA | L & I |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288915200000",
"number": "1881848653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "SUITE 105",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-426-4420",
"fax_number": "253-426-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "SUITE 105",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-426-4420",
"fax_number": "253-426-4383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROHA",
"first_name": "EDITH",
"middle_name": "TRITES",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-06",
"last_updated": "2010-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60045369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9659863",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0243565",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0243567",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8949783",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "G8877724",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00846069",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "G8877706",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0243569",
"state": "WA"
}
],
"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 Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.