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Deactivated NPI 1255304317 Deactivated / Inactive NPI Female Practitioner

Dr. Norma V Kouklis , MD

Specialist • 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, Dr. Norma Kouklis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 09, 2006
NPI Deactivation Date July 10, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Norma Kouklis, MD was a registered Specialist practicing in Tacoma, WA. Throughout an active medical career spanning 18 years, Dr. Kouklis provided care at the practice location at 4901 108TH ST SW until profile deactivation on 2024-07-10.

Practice Location & Contact Primary Location

Practice Address

4901 108th St Sw

Tacoma, WA 984993724

Telephone 2535896484
Fax 2539841079
Associated Practice Facility / Clinic
🏢 Duong Minh Duong,md,ps Facility NPI 1558665661

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
128 Specialists

Practicing in Tacoma, WA (2751 Statewide)

Telehealth Adoption Rate
1.6% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MD00011925

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

16 Associated Practitioners
Dr. Robert Hermann , MD

Student in an Organized Health Care Education/Training Program

NPI 1063776797

Doctor of Medicine (M.D.)

Georgia Mohler , BSN ARNP

Nurse Practitioner

NPI 1134112071

BSNARNP

Dr. John Coe , DO

Family Medicine

NPI 1225020654

Doctor of Osteopathic Medicine (D.O.)

Sonia Coleman , ARNP

Nurse Practitioner - Adult Health

NPI 1326190141

Advanced Registered Nurse Practitioner

NPI 1336158179

Doctor of Osteopathic Medicine (D.O.)

Taimur Ikram

Nurse Practitioner - Family

NPI 1437832565

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 10, 2024

Record deactivated on July 10, 2024

NPI Profile Active October 10, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 10, 2007

Registered at 4901 108TH ST SW, TACOMA, WA 984993724 (Tel: 2535896484)

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Updated Business Mailing Address October 10, 2007

Registered at PO BOX 98886, LAKEWOOD, WA 984968886 (Tel: 2535896484)

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Provider Name / Credentials Updated October 10, 2007

Recorded as NORMA KOUKLIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2007

Specialist (License #MD00011925 in WA)

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Initial NPI Registration & Enumeration February 09, 2006

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: 1255304317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2006
Last Update: October 10, 2007
Deactivation Date: July 10, 2024

Mailing Address

Po Box 98886

Lakewood, WA 984968886

Phone: 2535896484

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

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