Organization Active NPI

Medevals LLC

  • Health Service Clinic/Center
  • Lacey, WA
National Provider Identifier
1083504633
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MEDEVALS LLC
Practice address
5707 Lacey Blvd SE Ste 106
Lacey, WA 98503-2496
Phone
(360) 628-8885
NPI assigned
Jul 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Kristin McCoy
Title
Regional Vice President
Phone
(253) 733-5615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5707 Lacey Blvd SE Ste 106
Lacey, WA 98503-2496

Mailing address

505 S 336TH St Ste 150
Federal Way, WA 98003-5946
Phone (253) 733-5615

Other practice location 1

1259 Lake Plaza Dr Ste 290
Colorado Springs, CO 80906-3560
Phone (719) 418-6418

National Provider Directory

National Provider Directory

Locations

1259 Lake Plaza Dr
Ste 290
Colorado Springs, CO 80906
Phone (719) 418-6418

505 S 336th St
Ste 150
Federal Way, WA 98003
Phone (253) 733-5615

5707 Lacey Blvd SE
Ste 106
Lacey, WA 98503
Phone (360) 628-8885

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1083504633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S 336TH ST STE 150",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035946",
            "telephone_number": "253-733-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 LACEY BLVD SE STE 106",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032496",
            "telephone_number": "360-628-8885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1259 Lake Plaza Dr Ste 290",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809063560",
            "country_code": "US",
            "telephone_number": "719-418-6418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDEVALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "253-733-5615"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.