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SAINT MARTIN'S UNIVERSITY
NPI 1023898483
Family Medicine - Sports Medicine in Lacey, WA

Active since October 03, 2023CLIA 50D2202371 · Waiver
5000 ABBEY WAY SE, LACEY, WA 98503(972) 367-4845 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Saint Martin's University NPPES

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

SAINT MARTIN'S UNIVERSITY (NPI 1023898483), doing business as Saint Martin's University Athletics, is a healthcare organization registered as a sports medicine in Lacey, Washington and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Mouzon Bass Iii, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1023898483
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameSAINT MARTIN'S UNIVERSITY
Location Address5000 ABBEY WAY SELacey, WA 98503-3200
Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415 · (972) 367-4845 · Fax (972) 367-3451
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon Bass IiiAdministrator/agent · (972) 367-4845
Enumeration DateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1023898483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
5000 ABBEY WAY SE, Lacey, WA 98503
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Other Names 1

Doing Business AsSaint Martin's University Athletics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2202371

Saint Martin's University Student Health Center · Lacey, WA
Active · expires Apr 4, 2028
CLIA Number50D2202371
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 25, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJamie Nixon
Laboratory Phone(360) 412-6160
Laboratory LocationSaint Martin's University Student Health Center5000 Abbey Way SE Burton Hall 102, Lacey, WA 98503
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. SAMUEL MARQUE SMITH PSY.D., LMHC
Counselor (Mental Health)
5000 ABBEY WAY SE
LACEY, WA 98503
Thurston County (360) 412-6123
RAMZY ASSAF
Physician Assistant
5000 ABBEY WAY SE
LACEY, WA 98503
Thurston County (360) 438-4536
DR. REBECCA JEAN MOHRWEIS DNP
Nurse Practitioner (Family)
5000 ABBEY WAY SE
LACEY, WA 98503
Thurston County (360) 412-6160
DR. MICHELLE HUDDERS RN
Registered Nurse (School)
5000 ABBEY WAY SE
LACEY, WA 98503
Thurston County (360) 688-2649
MS. ALICE RENEE LOEBSACK ATC, CSCS
Specialist/Technologist (Athletic Trainer)
5000 ABBEY WAY SE
LACEY, WA 98503
Thurston County (360) 438-4536

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 Saint Martin's University's NPI number?

The NPI number for Saint Martin's University is 1023898483. It was assigned to this organization in the NPPES registry on October 3, 2023. The provider is doing business as Saint Martin's University Athletics.

Where is Saint Martin's University located?

Saint Martin's University is located at 5000 Abbey Way SE, Lacey, WA 98503. The listed phone number is (972) 367-4845.

What is Saint Martin's University's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Does Saint Martin's University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2202371) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saint Martin's University was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.