Tubman Center for Health & Freedom

Primary specialty

School Nurse PractitionerTaxonomy code 363LS0200X

Legal business name

TUBMAN CENTER FOR HEALTH & FREEDOM

Practice address

6020 Rainier Ave S
Seattle, WA 98118-2776

Phone

(206) 702-8101

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Lauren Blackham, NP

Title

Naturopathic Physician

Phone

(206) 702-8101

Specialties & licenses 5

Addresses

Other names 1

• Freedom Clinic Doing business as

Electronic endpoints 1

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

CLIA laboratory certificates

Tax ID family

Freedom Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tubman Center for Health & Freedom

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1013636430
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melisa D Carson-Goldie, LW61506240

  • Clinical Social Worker
  • Tukwila, WA
  • NPI 1346092095
  NPD (past)
• Elizabeth Mack, RN, ARNP-C

  • Nurse Practitioner
  • Seattle, WA
  • NPI 1881143758
  NPD (past)
• Imani Owens-Bailey, ND, EAMP, LAC

  • Naturopath
  • Seattle, WA
  • NPI 1043736036
  NPD (past)

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1265152169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18612",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981180612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182776",
            "telephone_number": "206-702-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUBMAN CENTER FOR HEALTH & FREEDOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "BLACKHAM",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "206-702-8101",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SX0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "januarie@tubmanhealth.org",
            "affiliation": "N",
            "endpointDescription": "Organization Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5907 Martin Luther King Jr Way S",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981182625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Freedom Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freedom Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loren E. Tubbs, M.D.
• Jane Tubei
• Aileen Alarcio Tubera, LICENSED NURSE
• Tayser Veloria Tubera, RN
• Tubman Center for Health & Freedom
• Elizabeth Nicole Tuck
• Amy Elaine Tucker, LMP
• Carly Tucker, MA, LMHCA
• Charlotte Tucker, RC
• Claire Justine Tucker

• Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.