NORTHWEST KETAMINE CLINICS PLLC DBA NORTHWEST HEALING AND WELLNESS
NPI 1174171458
Nurse Anesthetist, Certified Registered in Bellevue, WA

Q: What is Northwest Ketamine Clinics PLLC Dba Northwest Healing And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since August 29, 2019

1750 112TH AVE NE STE C228, BELLEVUE, WA 98004(206) 309-2299(425) 256-3250 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 29, 2025, Mar 7, 2025, Aug 29, 2019 (3 updates tracked since 2019).

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About Northwest Ketamine Clinics Pllc Dba Northwest Healing And Wellness NPPES

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

NORTHWEST KETAMINE CLINICS PLLC DBA NORTHWEST HEALING AND WELLNESS (NPI 1174171458), doing business as Northwest Healing And Wellness, is a healthcare organization registered as a nurse anesthetist, certified registered in Bellevue, Washington and active in the NPI registry since August 2019. The organization maintains 2 additional practice locations and lists Allyn Wilcock, Owner, as its authorized official.

NPPES Registry Identity

NPI1174171458

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameNORTHWEST KETAMINE CLINICS PLLC DBA NORTHWEST HEALING AND WELLNESS

Location Address1750 112TH AVE NE STE C228Bellevue, WA 98004-3773

Mailing Address35302 Se Center StSnoqualmie, WA 98065-9216 · (206) 309-2299 · Fax (425) 256-3250

Phone(206) 309-2299

Fax(425) 256-3250

Organization SubpartNo

Authorized OfficialAllyn WilcockOwner · (206) 330-6722

Enumeration DateAugust 29, 2019

Last NPPES UpdateMay 29, 20253 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1174171458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1750 112TH AVE NE STE C228, Bellevue, WA 98004

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Other Names 1

Doing Business AsNorthwest Healing And Wellness

Secondary Practice Locations 2

Location 11901 S Union Ave Ste B4001Tacoma, WA 98405-1804 · Phone (206) 309-2299 · Fax (425) 256-3250

Location 2600 Broadway Ste 130Seattle, WA 98122-5381 · Phone (206) 309-2299 · Fax (425) 256-3250

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

Other Providers at the Same Location NPPES 3

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

EDUARDO PAIZ PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1750 112TH AVE NE STE C228
BELLEVUE, WA 98004

King County (206) 309-2299

NAKISBENDIMD, PLLC

Obstetrics & Gynecology (Gynecology)

1750 112TH AVE NE STE C228
BELLEVUE, WA 98004

King County (206) 984-3894

DR. KARA MUNIRA NAKISBENDI M.D.

Obstetrics & Gynecology (Gynecology)

1750 112TH AVE NE STE C228
BELLEVUE, WA 98004

King County (610) 220-1634

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 Northwest Ketamine Clinics PLLC Dba Northwest Healing And Wellness's NPI number?

The NPI number for Northwest Ketamine Clinics PLLC Dba Northwest Healing And Wellness is 1174171458. It was assigned to this organization in the NPPES registry on August 29, 2019. The provider is doing business as Northwest Healing and Wellness.

Where is Northwest Ketamine Clinics PLLC Dba Northwest Healing And Wellness located?

Northwest Ketamine Clinics PLLC Dba Northwest Healing And Wellness is located at 1750 112th Ave NE Ste C228, Bellevue, WA 98004. The listed phone number is (206) 309-2299.

What is Northwest Ketamine Clinics PLLC Dba Northwest Healing And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Northwest Ketamine Clinics PLLC Dba Northwest Healing And Wellness was last updated on May 29, 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.