STACEY JONELLE VAN TASSEL L.M.P.
NPI 1124214267
Specialist in Black Diamond, WA

Active since September 21, 2007
29034 216TH AVE SE, BLACK DIAMOND, WA 98010(360) 886-2649 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey Jonelle Van Tassel L.m.p. NPPES

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

STACEY JONELLE VAN TASSEL L.M.P. (NPI 1124214267) is an individual specialist in Black Diamond, Washington, licensed in Washington (MA00020492) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1124214267
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSTACEY JONELLE VAN TASSELCredential: L.M.P.
Location Address29034 216TH AVE SEBlack Diamond, WA 98010-1297
Mailing Address26615 199th Pl SeCovington, WA 98042-5087 · (253) 670-5910
Sole ProprietorYes
Enumeration DateSeptember 21, 2007
NPI 1124214267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MA00020492
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
29034 216TH AVE SE, Black Diamond, WA 98010

Other Providers at the Same Location NPPES 2

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

Massage Therapist
29034 216TH AVE SE
BLACK DIAMOND, WA 98010
Counselor (Mental Health)
29034 216TH AVE SE, SUITE 3B
BLACK DIAMOND, WA 98010

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 Stacey Van Tassel's NPI number?

The NPI number for Stacey Van Tassel is 1124214267. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Where is Stacey Van Tassel located?

Stacey Van Tassel practices at 29034 216th Ave SE, Black Diamond, WA 98010. The listed phone number is (360) 886-2649.

What is Stacey Van Tassel's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stacey Van Tassel was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.