PREMIER THERAPEUTIC EXPERIENCE
NPI 1639438955
Preferred Provider Organization in Redmond, WA

Active since May 07, 2012
8105 166TH AVE NE, SUITE 202, REDMOND, WA 98052(253) 970-0779 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Premier Therapeutic Experience NPPES

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

PREMIER THERAPEUTIC EXPERIENCE (NPI 1639438955) is a healthcare organization registered as a preferred provider organization in Redmond, Washington and active in the NPI registry since May 2012. The organization lists Brandon E. Stogsdill, Clinician, as its authorized official.

NPPES Registry Identity

NPI1639438955
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NamePREMIER THERAPEUTIC EXPERIENCE
Location Address8105 166TH AVE NE, SUITE 202Redmond, WA 98052-3999
Mailing Address8105 166th Ave Ne, Suite 202Redmond, WA 98052-3999 · (253) 970-0779
Organization SubpartNo
Authorized OfficialBrandon E. StogsdillClinician · (253) 970-0779
Enumeration DateMay 7, 2012
NPI 1639438955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Licenses Licensed in WA · LH 60270904 Licensed in WA · CO 60180142
Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

8105 166TH AVE NE, Redmond, WA 98052

Other Providers at the Same Location NPPES 9

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

Dentist (General Practice)
8105 166TH AVE NE, #201
REDMOND, WA 98052
Chiropractor
8105 166TH AVE NE, SUITE 101
REDMOND, WA 98052
Dentist (General Practice)
8105 166TH AVE NE, STE. 201
REDMOND, WA 98052
Specialist
8105 166TH AVE NE, SUITE 101
REDMOND, WA 98052
Dentist (General Practice)
8105 166TH AVE NE
REDMOND, WA 98052
Counselor (Mental Health)
8105 166TH AVE NE, BLOSSOM FAMILY WELLNESS, SUITE 202
REDMOND, WA 98052
Nurse Practitioner (Pediatrics)
8105 166TH AVE NE, SUITE 202
REDMOND, WA 98052
Nurse Practitioner (Pediatrics)
8105 166TH AVE NE, 202
REDMOND, WA 98052

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 Premier Therapeutic Experience's NPI number?

The NPI number for Premier Therapeutic Experience is 1639438955. It was assigned to this organization in the NPPES registry on May 7, 2012.

Where is Premier Therapeutic Experience located?

Premier Therapeutic Experience is located at 8105 166th Ave NE Suite 202, Redmond, WA 98052. The listed phone number is (253) 970-0779.

What is Premier Therapeutic Experience's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Premier Therapeutic Experience was last updated on May 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.