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MEDEVALS LLC
NPI 1083504633
Clinic/Center - Health Service in Lacey, WA

Active since July 07, 2025
5707 LACEY BLVD SE STE 106, LACEY, WA 98503(360) 628-8885 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medevals Llc NPPES

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

MEDEVALS LLC (NPI 1083504633) is a healthcare organization registered as a health service in Lacey, Washington and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Colorado Springs and lists Kristin Mccoy, Regional Vice President, as its authorized official.

NPPES Registry Identity

NPI1083504633
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMEDEVALS LLC
Location Address5707 LACEY BLVD SE STE 106Lacey, WA 98503-2496
Mailing Address505 S 336th St Ste 150Federal Way, WA 98003-5946 · (253) 733-5615
Phone(360) 628-8885
Organization SubpartNo
Authorized OfficialKristin MccoyRegional Vice President · (253) 733-5615
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1083504633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
5707 LACEY BLVD SE STE 106, Lacey, WA 98503
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Secondary Practice Location 1

Location 11259 Lake Plaza Dr Ste 290Colorado Springs, CO 80906-3560 · Phone (719) 418-6418

Other Providers at the Same Location NPPES

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

SIMONE ELIZABETH BROWN NP
Nurse Practitioner
5707 LACEY BLVD SE STE 106
LACEY, WA 98503
Thurston County (360) 628-8885

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 Medevals LLC's NPI number?

The NPI number for Medevals LLC is 1083504633. It was assigned to this organization in the NPPES registry on July 7, 2025.

Where is Medevals LLC located?

Medevals LLC is located at 5707 Lacey Blvd SE Ste 106, Lacey, WA 98503. The listed phone number is (360) 628-8885.

What is Medevals LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Medevals LLC was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.