1. Home
  2. Directory
  3. Washington
  4. Snoqualmie
  5. Preventive Medicine
  6. NPI Profile

SNOQUALMIE INDIAN TRIBE
NPI 1043873722
Preventive Medicine - Public Health & General Preventive Medicine in Snoqualmie, WA

Active since April 17, 2019
9575 ETHAN WADE WAY SE, SNOQUALMIE, WA 98065(425) 831-5425(425) 831-5428 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, Sep 9, 2021, May 5, 2021 and 7 more (10 updates tracked since 2019).

About Snoqualmie Indian Tribe NPPES

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

SNOQUALMIE INDIAN TRIBE (NPI 1043873722) is a healthcare organization registered as a public health & general preventive medicine in Snoqualmie, Washington and active in the NPI registry since April 2019. The organization lists Jean Medina, Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1043873722
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NameSNOQUALMIE INDIAN TRIBE
Location Address9575 ETHAN WADE WAY SESnoqualmie, WA 98065-9577
Mailing AddressPo Box 969, Attn Compliance ManagerSnoqualmie, WA 98065-0969 · (425) 831-5425 · Fax (425) 831-5428
Phone(425) 831-5425
Fax(425) 831-5428
Organization SubpartNo
Authorized OfficialJean MedinaCompliance Manager · (425) 831-5425
Enumeration DateApril 17, 2019
Last NPPES UpdateJuly 25, 202210 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1043873722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
9575 ETHAN WADE WAY SE, Snoqualmie, WA 98065
Open in Google Maps ↗

Other Identifiers 1

Medicaid2137735WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

MRS. YVETTE ARTMAN M.S.,CCC-SLP
Speech-Language Pathologist
9575 ETHAN WADE WAY SE, SNOQUALMIE VALLEY HOSPITAL
SNOQUALMIE, WA 98065
King County (425) 831-2300
LISA M KRASOWSKI PTA
Physical Therapy Assistant
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
King County (425) 831-2376
CHRISTINE LAURA BANKS PTA
Physical Therapy Assistant
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
King County (509) 910-2548
TEYLOR WILBUR ARNP, FNP
Nurse Practitioner (Psychiatric/Mental Health)
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
King County (425) 888-5511
KAREN KUULEI FOWLER PYS, LMHC
Psychologist
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
King County (425) 831-5425
MRS. LYNDEE ELSIE RETZLAFF
Counselor (Addiction (Substance Use Disorder))
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
King County (425) 831-5425
ZAKARY W ALDER LMHC, SUDP
Counselor (Mental Health)
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
King County (425) 831-5425
MS. CHRISTA MICHELLE MCALLISTER CDP
Counselor (Addiction (Substance Use Disorder))
9575 ETHAN WADE WAY SE
SNOQUALMIE, WA 98065
King County (425) 831-5425

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 Snoqualmie Indian Tribe's NPI number?

The NPI number for Snoqualmie Indian Tribe is 1043873722. It was assigned to this organization in the NPPES registry on April 17, 2019.

Where is Snoqualmie Indian Tribe located?

Snoqualmie Indian Tribe is located at 9575 Ethan Wade Way SE, Snoqualmie, WA 98065. The listed phone number is (425) 831-5425.

What is Snoqualmie Indian Tribe's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

What insurance does Snoqualmie Indian Tribe accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Snoqualmie Indian Tribe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Snoqualmie Indian Tribe was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.