Gregory Lee Wolff, MSN/BSN, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

60280098 Issued in WA

Practice address

9720 S Tacoma Way
Lakewood, WA 98499-4456

Phone

(253) 503-3666

Fax

(253) 503-1633

NPI assigned

Jul 16, 2018

Last updated

Jul 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rainier Internal Medicine LLC

  dba Northwest Integrated Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Puyallup, WA
  • NPI 1356716351
  NPD (past)
• Rainier Internal Medicine LLC

  dba Northwest Integrated Health

  • Primary Care Clinic/Center
  • Lakewood, WA
  • NPI 1972735157
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1174009898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 DOGWOOD ST NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984221336",
            "telephone_number": "253-332-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 S TACOMA WAY",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994456",
            "telephone_number": "253-503-3666",
            "fax_number": "253-503-1633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 3rd St SE",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983741109",
            "country_code": "US",
            "telephone_number": "253-310-7452",
            "fax_number": "253-302-8493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5929 Westgate Blvd",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984062567",
            "country_code": "US",
            "telephone_number": "253-310-7452",
            "fax_number": "253-302-8493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "credential": "MSN/BSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60280098",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60280098",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "60280098",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "60280098",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "60280098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "60280098",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah R Wofford
• Elysia Wold
• Molly J Wolf, SUDP
• Layne Wolfe
• Erika Wolfenberger, BA
• Chady Gladys Wollor, LPN
• Womens Mobile Medical - LLC (The Women's Clinic)
• Charissa Angelique Wong
• Kristine Hin-Mum Wong, PHARMD
• Lester Woo, D.D.S.

• Community Health Registered Nurse in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Community Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.