BIRDS EYE MEDICAL PLLC
NPI 1497615710
Preventive Medicine - Public Health & General Preventive Medicine in Lacey, WA

Q: What is Birds Eye Medical PLLC's NPI number?

The NPI number for Birds Eye Medical PLLC is 1497615710. It was assigned to this organization in the NPPES registry on November 18, 2025.

Q: What is Birds Eye Medical PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Active since November 18, 2025CLIA 50D2205756 · Waiver

2641 WILLAMETTE DR NE STE A, LACEY, WA 98516(702) 640-0428(360) 347-6620 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Birds Eye Medical Pllc NPPES

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

BIRDS EYE MEDICAL PLLC (NPI 1497615710) is a healthcare organization registered as a public health & general preventive medicine in Lacey, Washington and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sherlonda Allen, Biller/credentialer, as its authorized official.

NPPES Registry Identity

NPI1497615710

Entity TypeOrganization

Primary Taxonomy2083P0901X

Legal Business NameBIRDS EYE MEDICAL PLLC

Location Address2641 WILLAMETTE DR NE STE ALacey, WA 98516-1360

Mailing Address2641 Willamette Dr Ne Ste ALacey, WA 98516-1360 · (702) 640-0428 · Fax (360) 347-6620

Phone(702) 640-0428

Fax(360) 347-6620

Organization SubpartNo

Authorized OfficialSherlonda AllenBiller/credentialer · (702) 640-0428

Enumeration DateNovember 18, 2025

Last NPPES UpdateNovember 19, 2025

NPPES CertifiedNovember 19, 2025

✔ NPI 1497615710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

2641 WILLAMETTE DR NE STE A, Lacey, WA 98516

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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

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 50D2205756

Bird's Eye Medical LLC · Lacey, WA

Active · expires Apr 4, 2028

CLIA Number50D2205756

Laboratory TypeMobile Laboratory

Certificate Effective DateDecember 15, 2020

Certificate Expiration DateApril 4, 2028

Laboratory DirectorJoel Abbott

Laboratory Phone(360) 688-7044

Laboratory LocationBird's Eye Medical LLC2641 Willamette Dr NE Ste A, Lacey, WA 98516

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DAVID JAMES MISSLBECK ARNP

Nurse Practitioner (Family)

2641 WILLAMETTE DR NE STE A
LACEY, WA 98516

Thurston County (360) 548-8995

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 Birds Eye Medical PLLC's NPI number?

The NPI number for Birds Eye Medical PLLC is 1497615710. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Birds Eye Medical PLLC located?

Birds Eye Medical PLLC is located at 2641 Willamette Dr NE Ste A, Lacey, WA 98516. The listed phone number is (702) 640-0428.

What is Birds Eye Medical PLLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Does Birds Eye Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2205756) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Birds Eye Medical PLLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.