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PRINCIPAL HEALTH CLINIC LLC
NPI 1932910684
Nurse Practitioner - Primary Care in Bonney Lake, WA

Active since January 14, 2025CLIA 50D2329539 · Waiver
21525 SR 410 E STE A, BONNEY LAKE, WA 98391(253) 499-6999(888) 440-5188 Get Directions Write a Review

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

Record update history: May 6, 2025, Mar 24, 2025, Mar 12, 2025 and 2 more (5 updates tracked since 2025).

About Principal Health Clinic Llc NPPES

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

PRINCIPAL HEALTH CLINIC LLC (NPI 1932910684) is a healthcare organization registered as a primary care in Bonney Lake, Washington and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Bien Nguyen, Mr., as its authorized official.

NPPES Registry Identity

NPI1932910684
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePRINCIPAL HEALTH CLINIC LLC
Location Address21525 SR 410 E STE ABonney Lake, WA 98391-4101
Mailing AddressPo Box 7531Bonney Lake, WA 98391-0924
Phone(253) 499-6999
Fax(888) 440-5188
Organization SubpartNo
Authorized OfficialBien NguyenMr. · (253) 499-6999
Enumeration DateJanuary 14, 2025
Last NPPES UpdateAugust 19, 20255 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1932910684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
21525 SR 410 E STE A, Bonney Lake, WA 98391
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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

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 50D2329539

Principal Health Clinic · Bonney Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D2329539
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorEmma Nguyen
Laboratory Phone(253) 499-6999
Laboratory LocationPrincipal Health Clinic21525 Sr 410 E Ste A, 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.

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.

DUY TRINH NP
Nurse Practitioner (Family)
21525 SR 410 E STE A
BONNEY LAKE, WA 98391
Pierce County (253) 499-6999
BIEN NGUYEN NP-C
Nurse Practitioner (Family)
21525 SR 410 E STE A
BONNEY LAKE, WA 98391
Pierce County (253) 499-6999

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 Principal Health Clinic LLC's NPI number?

The NPI number for Principal Health Clinic LLC is 1932910684. It was assigned to this organization in the NPPES registry on January 14, 2025.

Where is Principal Health Clinic LLC located?

Principal Health Clinic LLC is located at 21525 Sr 410 E Ste A, Bonney Lake, WA 98391. The listed phone number is (253) 499-6999.

What is Principal Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Principal Health Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2329539) 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 Principal Health Clinic LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Principal Health Clinic LLC 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 Principal Health Clinic LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.