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INTEGRATED FAMILY MEDICINE
NPI 1649402942
Nurse Practitioner - Family in Lakewood, WA

Active since August 20, 2009
4901 108TH ST SW, LAKEWOOD, WA 98499(253) 589-6573(253) 984-1079 Get Directions Write a Review

NPPES record last updated: September 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Family Medicine NPPES

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

INTEGRATED FAMILY MEDICINE (NPI 1649402942) is a healthcare organization registered as a family in Lakewood, Washington and active in the NPI registry since August 2009. The organization lists Traci Michelle Mancuso, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1649402942
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATED FAMILY MEDICINE
Location Address4901 108TH ST SWLakewood, WA 98499-3724
Mailing AddressPo Box 98886Lakewood, WA 98496-8886 · (509) 389-6945
Phone(253) 589-6573
Fax(253) 984-1079
Organization SubpartNo
Authorized OfficialTraci Michelle MancusoFamily Nurse Practitioner · (509) 389-6945
Enumeration DateAugust 20, 2009
Last NPPES UpdateSeptember 27, 2011
✔ NPI 1649402942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP30006855
4901 108TH ST SW, Lakewood, WA 98499
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Other Identifiers 2

Medicare PING8885734WA
Medicaid1649402942WA

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

Other Providers at the Same Location NPPES 20

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

ROBERT LOUIS HERMANN MD
Student in an Organized Health Care Education/Training Program
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 589-6573
WASHINGTON PRACTICE MANAGEMENT, LLC
Internal Medicine
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 984-7247
GEORGIA ANN MOHLER BSN ARNP
Nurse Practitioner
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 589-6484
XAVIER MEDICAL SERVICES LLC
Nurse Practitioner (Family)
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 584-3577
LUIS EYMARD JAVIER
Nurse Practitioner (Family)
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (425) 374-2508
SPECIALTY WOUND AND FOOT CARE
Nurse Practitioner (Gerontology)
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 584-3577
ELLEN MARTIN ARNP PLLC
Nurse Practitioner (Family)
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 589-6484
VICTOR SOBOLEWSKI III DO
Family Medicine
4901 108TH ST SW
LAKEWOOD, WA 98499
Pierce County (253) 589-6484

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 Integrated Family Medicine's NPI number?

The NPI number for Integrated Family Medicine is 1649402942. It was assigned to this organization in the NPPES registry on August 20, 2009.

Where is Integrated Family Medicine located?

Integrated Family Medicine is located at 4901 108th St SW, Lakewood, WA 98499. The listed phone number is (253) 589-6573.

What is Integrated Family Medicine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Integrated Family Medicine was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.