A Community Wellness Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

A COMMUNITY WELLNESS CLINIC LLC

Practice address

2405 E 17TH Ave Ste 113
Spokane, WA 99223-5122

Phone

(509) 720-8516

NPI assigned

Oct 29, 2019

Last updated

May 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kerry Lee Traugott, DNPNPI 1396118469

Title

Owner

Phone

(509) 720-8516

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry Lee Traugott, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Spokane, WA
  • NPI 1396118469
  NPD Authorized official
• Candice Lyn Hunter, NP

  • Family Nurse Practitioner
  • Estacada, OR
  • NPI 1396252524
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1063056497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 E 17TH AVE STE 113",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992235122",
            "telephone_number": "509-720-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 E 17TH AVE STE 113",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992235122",
            "telephone_number": "509-720-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A COMMUNITY WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "TRAUGOTT",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-720-8516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396118469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.