Individual provider Active NPI

Christina Gregoria Kipelidis, ARNP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1902273030
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60591075 Issued in WA
Practice address
1501 Pacific Ave
Tacoma, WA 98402-3302
Phone
(253) 680-6016
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN60466798 WA
Nurse Practitioner 363L00000X AP60591075 WA Primary
Family Nurse Practitioner 363LF0000X AP60591075 WA
Primary Care Nurse Practitioner 363LP2300X AP60591075 WA

Addresses

Primary practice location

1501 Pacific Ave
Tacoma, WA 98402-3302

Mailing address

1501 Pacific Ave
Tacoma, WA 98402-3302
Phone (253) 680-6016

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
I20151119002774 WA Practitioner - Nurse Practitioner 6002116241 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60591075WAMDFamily Nurse Practitioner
RN60466798WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Nov 16, 2015 Accepting new patients
Multicare Health System Current Accepting new patients
Valley Medical Group-Renton Nurse Practitioner CurrentSince Jan 1, 2019 Accepting new patients
Multicare Health System CurrentSince Nov 16, 2015 Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

26458 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038
Phone (425) 656-5577

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Interoperability endpoints

  • Direct secure messaging: ckipelidis75488@direct.valleymed.org

Organizations & group practices 5

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1902273030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023302",
            "telephone_number": "253-680-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023302",
            "telephone_number": "253-680-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPELIDIS",
        "first_name": "CHRISTINA",
        "middle_name": "GREGORIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "RN60466798",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60591075",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60591075",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60591075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.