VA Puget Sound Health Care System

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

PA10002879 Issued in WA

Legal business name

VA PUGET SOUND HEALTH CARE SYSTEM

Practice address

VA Puget Sound Health Care System, American Lake D
9600 Veterans Drive SW
Tacoma, WA 98493-0001

Phone

(253) 582-8440

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Glenn Perry Ehlig, PA-C

Title

Physician Assistant

Phone

(253) 582-8440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083676340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 244TH STREET CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983877009",
            "telephone_number": "253-847-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA PUGET SOUND HEALTH CARE SYSTEM, AMERICAN LAKE D",
            "address_2": "9600 VETERANS DRIVE SW",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984930001",
            "telephone_number": "253-582-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA PUGET SOUND HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EHLIG",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "253-582-8440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "WA",
            "license": "PA10002879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Goetz Utku, P.T., DPT
• Derek Shea Utrup
• Deborah Utterback
• Ugochukwu E Uwaoma, DR
• VA Puget Sound HCS, American Lake Division
• VA Puget Sound Health Care System
• VA Puget Sound Healthcare System
• Perry VA
• Allyson Mary Vaccaro-Pelton
• Catherine Vaccaro, RD, CD

• Psychiatric Hospital in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Psychiatric Hospital in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.