MARY ANDREA GO UGADDAN PMHNP-BC
NPI 1104802099
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA

Active since December 21, 2005
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-4801 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Andrea Go Ugaddan Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANDREA GO UGADDAN PMHNP-BC (NPI 1104802099) is an individual psychiatric/mental health provider in Tacoma, Washington, licensed in Washington (70027516) and active in the NPI registry since December 2005. She maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104802099
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY ANDREA GO UGADDANCredential: PMHNP-BC
Location Address9040 JACKSON AVETacoma, WA 98431-5001
Mailing Address901 S Orchard StTacoma, WA 98465-2420 · (908) 887-5298
Sole ProprietorYes
Enumeration DateDecember 21, 2005
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedJuly 18, 2025
NPI 1104802099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WA · 70027516
Also ListedRegistered NurseTaxonomy 163W00000X · License 565202 (NY)
9040 JACKSON AVE, Tacoma, WA 98431

Secondary Practice Locations 4

Location 11 Jarrett White Rd, Tripler Army Medical CenterTripler Amc, HI 96859-5001 · Phone (808) 433-2460 · Fax (808) 433-1558
Location 22080 Child StJacksonville, FL 32214-5001 · Phone (904) 542-7300
Location 336065 Santa Fe AveFort Hood, TX 76544-5060 · Phone (254) 288-8000
Location 4101 Bodin CirFairfield, CA 94535-1809 · Phone (707) 423-3000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Andrea Ugaddan's NPI number?

The NPI number for Mary Andrea Ugaddan is 1104802099. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Mary Andrea Ugaddan located?

Mary Andrea Ugaddan practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-4801.

What is Mary Andrea Ugaddan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mary Andrea Ugaddan was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.