Active NPI
Marthe Butzen, PA-C
- Medical Physician Assistant
- Tacoma, WA
National Provider Identifier
1912924366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10004085
- Practice address
- 1708 E. 44TH Street
Tacoma, WA 98404 - Phone
- (253) 471-4553
- Fax
- (253) 474-5395
- NPI assigned
- Jul 15, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10004085 | WA | Primary |
Addresses
Primary practice location
1708 E. 44TH Street
Tacoma, WA 98404
Mailing address
101 E 26TH St
Tacoma, WA 98421-1108
Phone (253) 597-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8148322 | Medicaid | WA |
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 |
|---|---|---|---|
| PA10004085 | WA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1912924366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E 26TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984211108",
"telephone_number": "253-597-4550",
"fax_number": "256-372-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 E. 44TH STREET",
"city": "TACOMA",
"state": "WA",
"postal_code": "98404",
"telephone_number": "253-471-4553",
"fax_number": "253-474-5395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTZEN",
"first_name": "MARTHE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10004085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8148322",
"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 Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.