NATHANIEL OTT DNP ARNP AGACNP-BC NPI 1053944108

NPI Information

  • NPI: 1053944108
  • Provider Name: NATHANIEL OTT, DNP, ARNP, AGACNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2420 S STATE ST
    TACOMA, WA
    ZIP 98405
  • Phone: (253) 426-4000

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NPI Details

Nathaniel Ott, DNP, ARNP, AGACNP-BC is a gerontology nurse practitioner in Tacoma, WA with 4 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
1163WC0200XRegistered NurseCritical Care MedicineRN60791598WASHINGTONNo
2363LA2100XNurse PractitionerAcute CareAP61288343WASHINGTONNo
3363LC0200XNurse PractitionerCritical Care MedicineAP61288343WASHINGTONNo
4363LG0600XNurse PractitionerGerontologyAP61288343WASHINGTONYes

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
12217876MEDICAIDWASHINGTON

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: 11/21/2025

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