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Deactivated NPI 1861170474 Deactivated / Inactive NPI Female Practitioner

Alexandria Nicole Bates

General Practice • Tacoma, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Alexandria Bates has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2023
NPI Deactivation Date February 04, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Alexandria Bates was a registered General Practice practicing in Tacoma, WA. Throughout an active medical career spanning 2 years, Alexandria Bates provided care at the practice location at 9040 JACKSON AVE until profile deactivation on 2025-02-04.

Practice Location & Contact Primary Location

Practice Address

9040 Jackson Ave

Tacoma, WA 984316600

Telephone 2539680770
Associated Practice Facility / Clinic
🏢 Defense Finance & Actg Serv Facility NPI 1992784144

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
170 Specialists

Practicing in Tacoma, WA (423 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-23
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License ID 8181221

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Andrew Wright , DO

Military Health Care Provider

NPI 1003767609

Doctor of Osteopathic Medicine (D.O.)

Dr. Ardalan Terman , DO

General Practice

NPI 1023873536

Doctor of Osteopathic Medicine (D.O.)

Dr. Ariel Hoffman , MD

Family Medicine

NPI 1033644257

Doctor of Medicine (M.D.)

Dr. William Crum , MD

Family Medicine

NPI 1073581286

Doctor of Medicine (M.D.)

NPI 1093368110

Doctor of Psychology (Psy.D.)

Mckayla Miller

Military Health Care Provider

NPI 1104525419

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2026

General Practice (License #8181221 in ID)

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Updated Practice Location March 04, 2025

Registered at 9040 JACKSON AVE, TACOMA, WA 984316600 (Tel: 2539680770)

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Updated Business Mailing Address March 04, 2025

Registered at 245 S GIBSON RD APT 12301, HENDERSON, NV 890122699 (Tel: 6614789453)

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Provider Name / Credentials Updated March 04, 2025

Recorded as ALEXANDRIA BATES

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2025

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated February 04, 2025

Record deactivated on February 04, 2025

NPI Profile Active July 05, 2023

NPI status registered as active in NPPES database

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Updated Practice Location July 05, 2023

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532273)

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Updated Business Mailing Address July 05, 2023

Registered at 245 S GIBSON RD APT 12301, HENDERSON, NV 890122699 (Tel: 6614789453)

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Provider Name / Credentials Updated July 05, 2023

Recorded as ALEXANDRIA BATES

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2023

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration July 05, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861170474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2023
Last Update: July 23, 2026
Deactivation Date: February 04, 2025
Sole Proprietor: No

Mailing Address

245 S Gibson Rd Apt 12301

Henderson, NV 890122699

Phone: 6614789453

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.