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PIONEER FAMILY PRACTICE, PLLC
NPI 1205965365
Family Medicine in Lacey, WA

Active since March 05, 2007CLIA 50D0993310 · Waiver
5130 CORPORATE CENTER CT SE, LACEY, WA 98503(360) 413-8600(360) 413-8822 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pioneer Family Practice, Pllc NPPES

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

PIONEER FAMILY PRACTICE, PLLC (NPI 1205965365) is a healthcare organization registered as a family medicine in Lacey, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Diane M Taylor, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1205965365
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePIONEER FAMILY PRACTICE, PLLC
Location Address5130 CORPORATE CENTER CT SELacey, WA 98503-5957
Mailing Address5130 Corporate Center Ct SeLacey, WA 98503-5957 · (360) 413-8600 · Fax (360) 413-8822
Phone(360) 413-8600
Fax(360) 413-8822
Organization SubpartNo
Authorized OfficialDiane M TaylorBusiness Manager · (360) 413-8617
Enumeration DateMarch 5, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1205965365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
5130 CORPORATE CENTER CT SE, Lacey, WA 98503
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Other Identifiers 4

Other147741WA · Labor And Inudustry
Medicaid7105869WA
Other02WA · Corporate
Other1205965365WA · Npi

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 50D0993310

Pioneer Family Practice By Multicare · Lacey, WA
Active · expires Apr 4, 2028
CLIA Number50D0993310
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorCris Johnson
Laboratory Phone(360) 413-8600
Laboratory LocationPioneer Family Practice By Multicare5130 Corporate Center Ct SE, Lacey, WA 98503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DR. DIRK FRANCIS HAVLAK MD
Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Thurston County (360) 413-8600
DR. CRIS EDWARD JOHNSON MD
Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Thurston County (360) 413-8600
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Thurston County (360) 456-4663
DR. THOMAS FRANCES RAFFERTY MD
Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Thurston County (360) 413-8600
CAPITAL MEDICAL CENTER PHYSICIANS LLC
Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Thurston County (360) 413-8600
DR. EDWARD GREGORY LACLERGUE MD
Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Thurston County (360) 413-8600
EDWARD DAVID CATES MD
Family Medicine
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Thurston County (360) 413-8600
DYNCARE NORTHWEST
Clinical Medical Laboratory
5130 CORPORATE CENTER CT SE
LACEY, WA 98503
Thurston County (360) 456-4663

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 Pioneer Family Practice, PLLC's NPI number?

The NPI number for Pioneer Family Practice, PLLC is 1205965365. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Pioneer Family Practice, PLLC located?

Pioneer Family Practice, PLLC is located at 5130 Corporate Center Ct SE, Lacey, WA 98503. The listed phone number is (360) 413-8600.

What is Pioneer Family Practice, PLLC's specialty?

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

Does Pioneer Family Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0993310) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pioneer Family Practice, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pioneer Family Practice, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pioneer Family Practice, PLLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.