NORTHWEST KETAMINE CLINICS TACOMA, PLLC - NPI 1215528732

Q: What is Northwest Ketamine Clinics Tacoma, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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About Northwest Ketamine Clinics Tacoma, Pllc NPPES

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

NORTHWEST KETAMINE CLINICS TACOMA, PLLC (NPI 1215528732) is a healthcare organization registered as a nurse practitioner in Tacoma, Washington and active in the NPI registry since January 2021. The organization lists Allyn D Wilcock, Owner, as its authorized official.

NPPES Registry Identity

NPI1215528732

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameNORTHWEST KETAMINE CLINICS TACOMA, PLLC

Location Address1901 S UNION AVE, BUILDING B, SUITE 4001Tacoma, WA 98405

Mailing Address35302 Se Center StSnoqualmie, WA 98065-9216 · (206) 330-6722 · Fax (425) 256-3250

Phone(206) 309-2299

Fax(425) 256-3250

Organization SubpartNo

Authorized OfficialAllyn D WilcockOwner · (206) 330-6722

Enumeration DateJanuary 27, 2021

NPPES CertifiedJanuary 27, 2021

✔ NPI 1215528732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1901 S UNION AVE, Tacoma, WA 98405

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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 20

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

JORGENSON OPTICAL SUPPLY

Eyewear Supplier

1901 S UNION AVE, SUITE B-1001
TACOMA, WA 98405

Pierce County (253) 572-4522

PUGET SOUND ALLERGY ASTHMA & IMMUNOLOGY

Allergy & Immunology (Clinical & Laboratory Immunology)

1901 S UNION AVE, STE B-6010
TACOMA, WA 98405

Pierce County (253) 383-4721

HAROLD EDWARD LINSTEN RPH

Pharmacist

1901 S UNION AVE, SUITE A-201
TACOMA, WA 98405

Pierce County (253) 459-6238

MR. WILLIAM COOLEY PORTER PHARMACIST

Pharmacist

1901 S UNION AVE
TACOMA, WA 98405

Pierce County (253) 345-9674

EDUARDO S CUEVAS MD PS

Internal Medicine

1901 S UNION AVE, STE A-114
TACOMA, WA 98405

Pierce County (253) 472-8389

GRANT LUNDIE MD PC

Specialist

1901 S UNION AVE
TACOMA, WA 98405

Pierce County (253) 459-6611

HANNAH ROSE HUGO RDN, CD

Dietitian, Registered

1901 S UNION AVE
TACOMA, WA 98405

Pierce County (253) 459-6633

ARIANNA PERNELA

Behavior Technician

1901 S UNION AVE
TACOMA, WA 98405

Pierce County (818) 241-6780

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 Tacoma, PLLC's NPI number?

The NPI number for Northwest Ketamine Clinics Tacoma, PLLC is 1215528732. It was assigned to this organization in the NPPES registry on January 27, 2021.

Where is Northwest Ketamine Clinics Tacoma, PLLC located?

Northwest Ketamine Clinics Tacoma, PLLC is located at 1901 S Union Ave Building B, Suite 4001, Tacoma, WA 98405. The listed phone number is (206) 309-2299.

What is Northwest Ketamine Clinics Tacoma, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Northwest Ketamine Clinics Tacoma, PLLC was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.