NATHANIEL OTT DNP ARNP AGACNP-BC NPI 1053944108

NPI Information

NPI: 1053944108
Provider Name: NATHANIEL OTT, DNP, ARNP, AGACNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
2420 S STATE ST
TACOMA, WA
ZIP 98405
Phone: (253) 426-4000
Get Directions

Nathaniel Ott, DNP, ARNP, AGACNP-BC is a gerontology nurse practitioner in Tacoma, WA with 2 years of experience. Nathaniel Ott, DNP, ARNP, AGACNP-BC NPI is 1053944108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2420 S STATE ST
TACOMA, WA
ZIP 98405-845
Phone: (253) 426-4000
Fax: (253) 428-8440

The NPI 1053944108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/18/2020 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	RN60791598	WASHINGTON	No
2	363LA2100X	Nurse Practitioner	Acute Care	AP61288343	WASHINGTON	No
3	363LC0200X	Nurse Practitioner	Critical Care Medicine	AP61288343	WASHINGTON	No
4	363LG0600X	Nurse Practitioner	Gerontology	AP61288343	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2217876	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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