Nordquist Integrated Medicine

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

NORDQUIST INTEGRATED MEDICINE

Practice address

9909 168TH St E Ste 102
Puyallup, WA 98375-2513

Phone

(253) 445-3000

NPI assigned

Aug 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Hyndshaw

Title

Office Manager

Phone

(253) 445-3000

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Balraj Khakh, DC

  • Chiropractor
  • Federal Way, WA
  • NPI 1356901839
  Medicare reassignment Care Compare group NPD
• Jonathan J Nordquist, DC

  • Chiropractor
  • Puyallup, WA
  • NPI 1912922105
  Medicare reassignment Care Compare group NPD
• Kimberly Samuelson, FNP-C

  • Nurse Practitioner
  • Puyallup, WA
  • NPI 1396541124
  Medicare reassignment Care Compare group NPD
• Mason Michael Stahley, DC

  • Chiropractor
  • Kent, WA
  • NPI 1528712239
  Medicare reassignment Care Compare group NPD
• Shayne Summers Yocum, ARNP

  • Nurse Practitioner
  • Seattle, WA
  • NPI 1043511181
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1033838750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 168TH ST E STE 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752513",
            "telephone_number": "253-445-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 168TH ST E STE 102",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752513",
            "telephone_number": "253-445-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDQUIST INTEGRATED MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "HYNDSHAW",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-445-3000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drnordquist@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office email",
            "address_1": "9909 168th St E Ste 102",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983752513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric David Nordberg, DDS
• Peder Nordberg, D.D.S.
• Scarlet Nordholm
• Heidi M Nordling, PA-C
• Nordquist Family Chiropractic
• Jonathan J Nordquist, DC
• William Mark Norris, R.PH.
• Northwest Family Chiropractic PC
• Northwest Foot and Ankle Center, PS
• Northwest Medical Specialties, PLLC

• Integrative Medicine Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Integrative Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.