Individual provider Active NPI

Anastasia Vladimirovna Semenova, PA

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1942803358
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61102516 Issued in WA
Practice address
800 S Duke St
Durham, NC 27701-3902
Phone
(919) 801-3573
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61102516 WA Primary

Addresses

Primary practice location

800 S Duke St
Durham, NC 27701-3902

Mailing address

815 N L St
Tacoma, WA 98403-1726
Phone (703) 855-7396

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
I20210330000723 WA Practitioner - Physician Assistant 1052728540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1901 S Union Ave
Tacoma, WA 98405-1702

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 403-2130

317 Martin Luther King Jr Way
Tacoma, WA 98405-4234

317 MLK Jr Way
Multicare Social Work Serv
Tacoma, WA 98405-4234
Phone (253) 403-1126

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Nov 1, 2023 Accepting new patients
Multicare Health System CurrentSince Nov 1, 2023 Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients

Locations

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

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

316 S K St
Tacoma, WA 98405
Phone (253) 403-1375

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

3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1942803358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N L ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984031726",
            "telephone_number": "703-855-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013902",
            "telephone_number": "919-801-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMENOVA",
        "first_name": "ANASTASIA",
        "middle_name": "VLADIMIROVNA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61102516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.