IndividualActive
Kimberly Larson, PAC
NPI 1215903752 · Physician Assistant · Tacoma, WA
Provider details
- NPI number
- 1215903752
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- PA10004275 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2420 S Union
Ste 300
Tacoma, WA 98405-1387
Phone: (253) 756-0888
Fax: (253) 752-1704
Street-level locationGet directions
Mailing address
2420 S Union
Tacoma, WA 98405-1387
Additional practice locations (1)
- 209 Martin Luther King Jr WayTacoma, WA 98405-4265Phone: (253) 596-3300
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2021-04-26
- Certified
- 2021-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.