Organization Active NPI

Consumer Wellness Solutions, LLC

  • Specialist
  • Seatac, WA
National Provider Identifier
1215240643
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CONSUMER WELLNESS SOLUTIONS, LLC
Practice address
17930 International Blvd Ste 1000
Seatac, WA 98188-4244
Phone
(425) 626-1318
Fax
(888) 588-7490
NPI assigned
Jul 14, 2010
Organization subpart
Yes
Parent organization
OPTUM SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Kimberley Williams
Title
Senior Compliance Analyst/Paralegal
Phone
(913) 335-6786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

17930 International Blvd Ste 1000
Seatac, WA 98188-4244

Mailing address

15529 College Blvd
Lenexa, KS 66219-1351
Phone (425) 626-1318

Other identifiers 1

IdentifierTypeStateIssuer
1089165MedicaidWA

Other names 1

  • Free and Clear Former legal business name

National Provider Directory

National Provider Directory

Locations

15325 SE 30th Pl
Ste 200
Bellevue, WA 98007
Phone (425) 641-4451

20021 120th Ave NE
Ste 201
Bothell, WA 98011

17930 International Blvd
Ste 1000
Seatac, WA 98188
Phone (425) 626-1318

999 3rd Ave
Ste 2100
Seattle, WA 98104
Phone (206) 876-2100

Practitioners & affiliated clinicians

Practitioners 2

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": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1215240643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15529 COLLEGE BLVD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191351",
            "telephone_number": "425-626-1318",
            "fax_number": "888-588-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17930 INTERNATIONAL BLVD STE 1000",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981884244",
            "telephone_number": "425-626-1318",
            "fax_number": "888-588-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUMER WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTUM SERVICES, INC",
        "enumeration_date": "2010-07-14",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "SENIOR COMPLIANCE ANALYST/PARALEGAL",
        "authorized_official_telephone_number": "913-335-6786"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1089165",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free and Clear",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seatac, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.