Sound Family Senior Clinic PLLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SOUND FAMILY SENIOR CLINIC PLLC

Practice address

3909 10TH St SE
Puyallup, WA 98374-2189

Phone

(253) 848-5951

NPI assigned

Feb 19, 2021

Last updated

Feb 19, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH HILL FAMILY MEDICINE PCAs reported in NPPES

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

Authorized official

Name

Sean Stout, MDNPI 1316925498

Title

Medical Director

Phone

(253) 286-3234

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

South Hill Family Medicine

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• South Hill Family Medicine PC

  dba Sound Family Medicine

  • Family Medicine Physician
  • Puyallup, WA
  • NPI 1538253331
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean Stuart Stout, M.D.

  • Family Medicine Physician
  • Puyallup, WA
  • NPI 1316925498
  Authorized official Same address or phone
• Bose Amosun

  • Physician Assistant
  • Puyallup, WA
  • NPI 1962283622
  NPD
• Jean Piere Rivera Nieves, PA

  • Medical Physician Assistant
  • Bonney Lake, WA
  • NPI 1053946459
  NPD
• Brandi Jo Boden, DO

  • Family Medicine Physician
  • Bonney Lake, WA
  • NPI 1023676541
  NPD (past)
• Kayla L Green, PA-C

  • Physician Assistant
  • Puyallup, WA
  • NPI 1689222671
  NPD (past)

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1174116123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 4TH AVE NE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727053",
            "telephone_number": "253-848-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 10TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742189",
            "telephone_number": "253-848-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND FAMILY SENIOR CLINIC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH HILL FAMILY MEDICINE PC",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "253-286-3234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kim Soto
• Alicia D Soule, ARNP
• Sound Cancer Care PLLC
• Sound Cancer Care PLLC
• Sound Counseling Inc
• Sound Massage Therapy
• Sound Medical Imaging PLLC
• Sound Medical Supplies LLC
• Sound Pain Alliance (Puget Sound Pain Clinic)
• Sound Recovery Center, LLC

• Adult Medicine Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Adult Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.