Organization Active NPI

Pure, LLC

  • Specialist
  • Tacoma, WA
National Provider Identifier
1245583863
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00013188 Issued in WA
Legal business name
PURE, LLC
Practice address
1506 Pacific Ave
Tacoma, WA 98402-4202
Phone
(253) 223-3138
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Nicolette M Carter, LMP
Title
Member/Owner
Phone
(253) 223-3138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA00013188 WA Primary

Addresses

Primary practice location

1506 Pacific Ave
Tacoma, WA 98402-4202

Mailing address

801 N I St Apt 304
Tacoma, WA 98403-2063
Phone (253) 223-3138

National Provider Directory

National Provider Directory

Locations

1506 Pacific Ave
Tacoma, WA 98402
Phone (253) 223-3138

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1245583863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N I ST APT 304",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032063",
            "telephone_number": "253-223-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024202",
            "telephone_number": "253-223-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "253-223-3138",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00013188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.