OLYMPIA INTEGRATIVE MEDICINE
NPI 1518599273
Family Medicine - Adult Medicine in Olympia, WA

Q: What is Etherton, Inc's NPI number?

The NPI number for Etherton, Inc is 1518599273. It was assigned to this organization in the NPPES registry on February 10, 2020. The provider is doing business as Olympia Integrative Medicine.

Q: What is Etherton, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Etherton, Inc was last updated on February 23, 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.

Active since February 10, 2020CLIA 50D2197876 · Waiver

2610 YELM HWY SE, OLYMPIA, WA 98501(360) 870-2011(360) 925-3136 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2021, Feb 10, 2020 (2 updates tracked since 2020).

On this page

About Olympia Integrative Medicine NPPES

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

OLYMPIA INTEGRATIVE MEDICINE (NPI 1518599273) is a healthcare organization registered as an adult medicine in Olympia, Washington and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Thomas Etherton, President, as its authorized official.

NPPES Registry Identity

NPI1518599273

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameETHERTON, INC

Location Address2610 YELM HWY SEOlympia, WA 98501-4826

Mailing Address2610 Yelm Hwy SeOlympia, WA 98501-4826 · (360) 915-9389 · Fax (360) 925-3136

Phone(360) 870-2011

Fax(360) 925-3136

Organization SubpartNo

Authorized OfficialThomas EthertonPresident · (360) 915-9389

Enumeration DateFebruary 10, 2020

Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2021

✔ NPI 1518599273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

2610 YELM HWY SE, Olympia, WA 98501

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Other Names 1

Doing Business AsOlympia Integrative Medicine

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 50D2197876

Olympia Integrative Medicine · Olympia, WA

Active · expires Apr 4, 2028

CLIA Number50D2197876

Laboratory TypeClinic

Certificate Effective DateOctober 28, 2020

Certificate Expiration DateApril 4, 2028

Laboratory DirectorTom Etherton

Laboratory Phone(360) 915-9389

Laboratory LocationOlympia Integrative Medicine2610 Yelm Hwy SE, Olympia, WA 98501

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 2

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

THOMAS LEE ETHERTON NP-C

Nurse Practitioner (Primary Care)

2610 YELM HWY SE
OLYMPIA, WA 98501

Thurston County (360) 915-9389

PREMIER HEALTH, LLC

Clinic/Center (Health Service)

2610 YELM HWY SE
OLYMPIA, WA 98501

Thurston County (360) 915-9389

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 Etherton, Inc's NPI number?

The NPI number for Etherton, Inc is 1518599273. It was assigned to this organization in the NPPES registry on February 10, 2020. The provider is doing business as Olympia Integrative Medicine.

Where is Etherton, Inc located?

Etherton, Inc is located at 2610 Yelm Hwy SE, Olympia, WA 98501. The listed phone number is (360) 870-2011.

What is Etherton, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Etherton, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2197876) 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 Etherton, Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Etherton, Inc 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 Etherton, Inc was last updated on February 23, 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.