Active NPI
Yareli Aguirre
- Physician Assistant
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60903021
- Practice address
- 1148 Broadway Ste 100
Tacoma, WA 98402-3518 - Phone
- (253) 722-1539
- Fax
- (206) 616-3889
- NPI assigned
- Jul 5, 2017
- Last updated
- Oct 24, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60903021 | WA | Primary |
Addresses
Primary practice location
1148 Broadway Ste 100
Tacoma, WA 98402-3518
Mailing address
4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1035 Cass St
Monterey, CA 93940-4517
Phone (831) 886-0030
11225 Pacific Ave S
Tacoma, WA 98444-5525
Phone (253) 284-2203
1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742
1742 Oregon St
Redding, CA 96001-1717
Phone (530) 646-7269
450 Lincoln Ave
Suite 101
Salinas, CA 93901-2652
Phone (831) 269-5988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63385 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care | Current | Accepting new patients | |
| Community Health Care | Current | Accepting new patients |
Locations
134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304
1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 268-1170
1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/HEDCAA
- yareli.aguirrepac.p1@direct.chc-tacoma.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Tacoma, WA
- NPI 1790762755
-
dba North American Mental Health Services
- Psychiatry Physician
- Redding, CA
- NPI 1073919171
-
dba Puyallup
- Federally Qualified Health Center (FQHC)
- Puyallup, WA
- NPI 1003515594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1922529403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 11TH AVE NE STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056367",
"telephone_number": "206-616-4001",
"fax_number": "206-616-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1148 BROADWAY STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023518",
"telephone_number": "253-722-1539",
"fax_number": "206-616-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUIRRE",
"first_name": "YARELI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60903021",
"primary": true
}
],
"identifiers": [],
"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 Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.