| Katie's Way Tacoma, Llc | |
|
6704 Tacoma Mall Blvd Ste 111 Tacoma WA 98409-9001 | |
| (253) 260-3460 | |
| (253) 397-3443 |
| Full Name | Katie's Way Tacoma, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6704 Tacoma Mall Blvd Ste 111, Tacoma, Washington |
| Authorized Official Name and Position | Kelly Rae Johnson (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 7853206616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie's Way Tacoma, Llc 6704 Tacoma Mall Blvd Ste 111 Tacoma WA 98409-9001 Ph: (253) 260-3460 | Katie's Way Tacoma, Llc 6704 Tacoma Mall Blvd Ste 111 Tacoma WA 98409-9001 Ph: (253) 260-3460 |
| NPI Number | 1285405522 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 4688104136 |
|---|---|
| Medicare Enrollment ID | O20250212003560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285405522 | NPI | - | NPPES |
| Provider Name | Darian J Hawke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407553167 PECOS PAC ID: 9335673797 Enrollment ID: I20250217002392 |
| Provider Name | Caleb Lee Jordan |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1619361904 PECOS PAC ID: 2567771249 Enrollment ID: I20250325002924 |
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