Sweet Medical Group, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60155686 Issued in WA

Legal business name

SWEET MEDICAL GROUP, PLLC

Practice address

4524 Intelco Loop SE
Lacey, WA 98503-5941

Phone

(360) 491-9890

Fax

(360) 667-5135

NPI assigned

Jul 28, 2017

Organization subpart

No

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

Authorized official

Name

Bethany Sweet, MD

Title

MD/Owner

Phone

(360) 491-9890

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1104340405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 944",
            "city": "EAST OLYMPIA",
            "state": "WA",
            "postal_code": "985400944",
            "telephone_number": "360-491-9890",
            "fax_number": "360-667-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 INTELCO LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035941",
            "telephone_number": "360-491-9890",
            "fax_number": "360-667-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "360-491-9890",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60155686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821240904",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G8902804",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "www.bsweet@yelmfamilymedicine.com",
            "affiliation": "N",
            "address_1": "4524 Intelco Loop SE",
            "city": "Lacey",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985035941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Swanberg, SLP
• Cameron Sofia Swartz
• Kimberly Michelle Swartz, B.T.
• Kristen Swartz, SUDPT MHCA
• Sweet Life Wellness Direct Primary Care, LLC
• Bethany M Sweet, M.D.
• Ryan James Sweet, DC
• Brent Swift, L.AC.
• Synergistic Wellness, LLC
• Laura Franciszka Szkudlarek, LMT

• Family Medicine Physician in Lacey, WA
• Providers in Lacey, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.