NPIMap

Organization Active NPI

Pride & Joy Gender Affirming Care Clinic PLLC

  • Health Service Clinic/Center
  • Olympia, WA
National Provider Identifier
1134098627
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PRIDE & JOY GENDER AFFIRMING CARE CLINIC PLLC
Practice address
825 Legion Way SE
Olympia, WA 98501-1586
Phone
(253) 881-7743
Fax
(253) 881-7158
NPI assigned
Nov 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Shanti Herzog, ARNPNPI 1770959025
Title
Arnp/Owner
Phone
(253) 881-7743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

825 Legion Way SE
Olympia, WA 98501-1586

Mailing address

825 Legion Way SE
Olympia, WA 98501-1586
Phone (253) 881-7743

National Provider Directory

National Provider Directory

Locations

825 Legion Way SE
Olympia, WA 98501
Phone (253) 881-7743

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": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1134098627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 LEGION WAY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011586",
            "telephone_number": "253-881-7743",
            "fax_number": "253-881-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 LEGION WAY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011586",
            "telephone_number": "253-881-7743",
            "fax_number": "253-881-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE & JOY GENDER AFFIRMING CARE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "SHANTI",
        "authorized_official_title_or_position": "ARNP/OWNER",
        "authorized_official_telephone_number": "253-881-7743",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

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