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NISQUALLY INDIAN TRIBE
NPI 1477745925
Clinic/Center in Olympia, WA

Active since August 17, 2007
4840 JOURNEY ST SE, OLYMPIA, WA 98513(360) 459-5312(360) 407-0860 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Nisqually Indian Tribe NPPES

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

NISQUALLY INDIAN TRIBE (NPI 1477745925) is a healthcare organization registered as a clinic/center in Olympia, Washington and active in the NPI registry since August 2007. The organization lists Michael Christensen, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1477745925
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNISQUALLY INDIAN TRIBE
Location Address4840 JOURNEY ST SEOlympia, WA 98513-6779
Mailing Address4840 Journey St SeOlympia, WA 98513-6779 · (360) 459-5312 · Fax (360) 407-0860
Phone(360) 459-5312
Fax(360) 407-0860
Organization SubpartNo
Authorized OfficialMichael ChristensenClinic Administrator · (360) 459-5312
Enumeration DateAugust 17, 2007
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1477745925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4840 JOURNEY ST SE, Olympia, WA 98513
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Other Identifiers 1

Medicaid7230055WA

Accepted Insurance

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

Other Providers at the Same Location NPPES 8

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

DR. RICHELLE KISTLER PHARMD
Pharmacist
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 491-9770
LORENA MIZE MS, SUDP, LMHCA
Counselor (Mental Health)
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 413-2727
MI-NA M DAVIS LMHCA
Counselor (Mental Health)
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 413-2727
MS. AMY LOUISE POND RPH
Pharmacist
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 491-9770
JENNY LEE PHARM.D.
Pharmacist
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 491-9770
RACHEL CECILE VANDEMARK
Nurse Practitioner (Pediatrics)
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 459-5312
JOHN GIPSON VA60681359
Pharmacy Technician
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 491-9770
NISQUALLY INDIAN TRIBE
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
4840 JOURNEY ST SE
OLYMPIA, WA 98513
Thurston County (360) 491-9770

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 Nisqually Indian Tribe's NPI number?

The NPI number for Nisqually Indian Tribe is 1477745925. It was assigned to this organization in the NPPES registry on August 17, 2007.

Where is Nisqually Indian Tribe located?

Nisqually Indian Tribe is located at 4840 Journey St SE, Olympia, WA 98513. The listed phone number is (360) 459-5312.

What is Nisqually Indian Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Nisqually Indian Tribe accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Nisqually Indian Tribe 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 Nisqually Indian Tribe was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.