Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Dustin Noah Tawatao, FNP-C

Individual provider Registered Nurse · NPI 1487044723

Mr. Dustin Noah Tawatao, FNP-C is a Nurse Practitioner in Vancouver, Washington. Qualified in 2014, 12 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
12
Licensed in
CA, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP60699819 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 784688 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95001918 (CA)

Record details

NPI number1487044723
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2015
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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