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VALLEY ROOTS FAMILY CARE PLLC
NPI 1144693250
Family Medicine in Mount Vernon, WA

Active since November 11, 2015
617 W. DIVISION ST., MOUNT VERNON, WA 98273(360) 428-1884(360) 428-1889 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2021, Sep 8, 2021, Nov 11, 2015 (3 updates tracked since 2015).

About Valley Roots Family Care Pllc NPPES

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

VALLEY ROOTS FAMILY CARE PLLC (NPI 1144693250) is a healthcare organization registered as a family medicine in Mount Vernon, Washington and active in the NPI registry since November 2015. The organization lists Tara Thomas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1144693250
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVALLEY ROOTS FAMILY CARE PLLC
Location Address617 W. DIVISION ST.Mount Vernon, WA 98273
Mailing Address617 W. Division St.Mount Vernon, WA 98273 · (360) 428-1884 · Fax (360) 428-1889
Phone(360) 428-1884
Fax(360) 428-1889
Organization SubpartNo
Authorized OfficialTara ThomasOffice Manager · (360) 428-1884
Enumeration DateNovember 11, 2015
Last NPPES UpdateDecember 21, 20213 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1144693250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00040349
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
617 W. DIVISION ST., Mount Vernon, WA 98273
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Other Identifiers 3

Medicaid8457228WA
Other0220687WA · Labor And Industries
Medicaid2076241WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Valley Roots Family Care PLLC's NPI number?

The NPI number for Valley Roots Family Care PLLC is 1144693250. It was assigned to this organization in the NPPES registry on November 11, 2015.

Where is Valley Roots Family Care PLLC located?

Valley Roots Family Care PLLC is located at 617 W. Division St., Mount Vernon, WA 98273. The listed phone number is (360) 428-1884.

What is Valley Roots Family Care PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Valley Roots Family Care PLLC was last updated on December 21, 2021. 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.