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NISQUALLY GENERATIONS HEALING CENTER
NPI 1023995388
General Practice in Olympia, WA

Active since August 19, 2025CLIA 50D2337679 · Waiver
3661 PACIFIC AVE SE, OLYMPIA, WA 98501(360) 218-7970 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nisqually Generations Healing Center NPPES

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

NISQUALLY GENERATIONS HEALING CENTER (NPI 1023995388) is a healthcare organization registered as a general practice in Olympia, Washington and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Christopher Petrozzi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023995388
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNISQUALLY GENERATIONS HEALING CENTER
Location Address3661 PACIFIC AVE SEOlympia, WA 98501-2122
Mailing Address3661 Pacific Ave SeOlympia, WA 98501-2122
Phone(360) 218-7970
Organization SubpartNo
Authorized OfficialChristopher PetrozziAdministrator · (360) 218-7970
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1023995388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3661 PACIFIC AVE SE, Olympia, WA 98501
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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 50D2337679

Nisqually Generations Healing Center · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D2337679
Laboratory TypeDrug Treatment
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorThembi A. Conner-Garcia
Laboratory Phone(360) 218-7690
Laboratory LocationNisqually Generations Healing Center3661 Pacific Ave SE, Olympia, WA 98501
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.

NISQUALLY GENERATIONS HEALING CENTER
Dentist (General Practice)
3661 PACIFIC AVE SE
OLYMPIA, WA 98501
Thurston County (360) 218-7970
CAITLIN BURELSON DMD
Dentist
3661 PACIFIC AVE SE
OLYMPIA, WA 98501
Thurston County (360) 218-7690
NISQUALLY GENERATIONS HEALING CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
3661 PACIFIC AVE SE
OLYMPIA, WA 98501
Thurston County (360) 349-3723
NISQUALLY GENERATIONS HEALING CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
3661 PACIFIC AVE SE
OLYMPIA, WA 98501
Thurston County (360) 218-7970
THEMBI A CONNER-GARCIA MD
Internal Medicine (Addiction Medicine)
3661 PACIFIC AVE SE
OLYMPIA, WA 98501
Thurston County (309) 360-8846

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 Nisqually Generations Healing Center's NPI number?

The NPI number for Nisqually Generations Healing Center is 1023995388. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Nisqually Generations Healing Center located?

Nisqually Generations Healing Center is located at 3661 Pacific Ave SE, Olympia, WA 98501. The listed phone number is (360) 218-7970.

What is Nisqually Generations Healing Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Nisqually Generations Healing Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2337679) 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 Nisqually Generations Healing Center was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.