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FRANCISCAN MEDICAL CLINIC-BONNEY LAKE
NPI 1497194922
Nurse Practitioner in Bonney Lake, WA

Active since June 18, 2013CLIA Certified · 2 labs
9230 SKY ISLAND DRIVE E, BONNEY LAKE, WA 98391(253) 750-6000 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Franciscan Medical Clinic-bonney Lake NPPES

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

FRANCISCAN MEDICAL CLINIC-BONNEY LAKE (NPI 1497194922) is a healthcare organization registered as a nurse practitioner in Bonney Lake, Washington and active in the NPI registry since June 2013. The organization holds 2 active CLIA laboratory certificates and lists Stephen Spare, President And Cmo, as its authorized official.

NPPES Registry Identity

NPI1497194922
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFRANCISCAN MEDICAL GROUP
Location Address9230 SKY ISLAND DRIVE EBonney Lake, WA 98391-7187
Mailing Address9230 Sky Island Drive EBonney Lake, WA 98391-7187 · (253) 750-6000
Phone(253) 750-6000
Organization SubpartNo
Authorized OfficialStephen SparePresident And Cmo · (253) 792-4344
Enumeration DateJune 18, 2013
Last NPPES UpdateJuly 3, 2013
✔ NPI 1497194922 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.
9230 SKY ISLAND DRIVE E, Bonney Lake, WA 98391
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Other Names 1

Doing Business AsFranciscan Medical Clinic-bonney Lake

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 50D2059234

Franciscan Medical Clinic - Bonney Lake · Bonney Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D2059234
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAnastasia Augustine
Laboratory Phone(253) 750-6000
Laboratory LocationFranciscan Medical Clinic - Bonney Lake9230 Sky Island Dr E, Bonney Lake, WA 98391
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2148869

Franciscan Medical Pavilion-Bonney Lake · Bonney Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D2148869
Laboratory TypeHospital
Certificate Effective DateMay 21, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJames Shreve
Laboratory Phone(253) 750-6062
Laboratory LocationFranciscan Medical Pavilion-Bonney Lake9230 Sky Island Dr E, Bonney Lake, WA 98391
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Franciscan Medical Group's NPI number?

The NPI number for Franciscan Medical Group is 1497194922. It was assigned to this organization in the NPPES registry on June 18, 2013. The provider is doing business as Franciscan Medical Clinic-Bonney Lake.

Where is Franciscan Medical Group located?

Franciscan Medical Group is located at 9230 Sky Island Drive E, Bonney Lake, WA 98391. The listed phone number is (253) 750-6000.

What is Franciscan Medical Group's specialty?

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

Does Franciscan Medical Group hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Franciscan Medical Group was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.