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FASA FAMILY WELLNESS PLLC
NPI 1174091193
Podiatrist in Lacey, WA

Active since November 07, 2018CLIA 50D2089344 · Waiver
5210 CORPORATE CENTER CT SE STE A, LACEY, WA 98503(360) 754-3338 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 13, 2025, May 20, 2021, Nov 7, 2018 (3 updates tracked since 2018).

About Fasa Family Wellness Pllc NPPES

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

FASA FAMILY WELLNESS PLLC (NPI 1174091193) is a healthcare organization registered as a podiatrist in Lacey, Washington and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Terrence Eugene Hess, Owner, as its authorized official.

NPPES Registry Identity

NPI1174091193
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFASA FAMILY WELLNESS PLLC
Location Address5210 CORPORATE CENTER CT SE STE ALacey, WA 98503-5952
Mailing AddressPo Box 825159Philadelphia, PA 19182-5159 · (360) 754-3338
Phone(360) 754-3338
Organization SubpartYesParent: Fasa Family Wellness, Pllc
Authorized OfficialTerrence Eugene HessOwner · (360) 754-3338
Enumeration DateNovember 7, 2018
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1174091193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
5210 CORPORATE CENTER CT SE STE A, Lacey, WA 98503
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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 50D2089344

Fasa Family Wellness PLLC · Tumwater, WA
Active · expires Apr 4, 2028
CLIA Number50D2089344
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTerrence E. Hess
Laboratory Phone(360) 754-3338
Laboratory LocationFasa Family Wellness PLLC1610 Bishop Rd SW Ste 101, Tumwater, WA 98512
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DAVID B HUEBNER DPM
Podiatrist (Foot & Ankle Surgery)
5210 CORPORATE CENTER CT SE STE A
LACEY, WA 98503
Thurston County (360) 764-8293

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 Fasa Family Wellness PLLC's NPI number?

The NPI number for Fasa Family Wellness PLLC is 1174091193. It was assigned to this organization in the NPPES registry on November 7, 2018.

Where is Fasa Family Wellness PLLC located?

Fasa Family Wellness PLLC is located at 5210 Corporate Center Ct SE Ste A, Lacey, WA 98503. The listed phone number is (360) 754-3338.

What is Fasa Family Wellness PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Does Fasa Family Wellness PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2089344) 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 Fasa Family Wellness PLLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.