Active NPI
Sea-Mar Community Health Center
- Federally Qualified Health Center (FQHC)
- Lakewood, WA
National Provider Identifier
1275159592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- SEA-MAR COMMUNITY HEALTH CENTER
- Practice address
- 5700 100TH Street SE
Suite 510
Lakewood, WA 98499 - Phone
- (253) 792-6526
- Fax
- (253) 792-6526
- NPI assigned
- Jun 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Bartolo
- Title
- Executive Vice President
- Phone
- (206) 763-5277
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Registered Dietitian | 133V00000X | |||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | |||
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Metabolic Nutrition Registered Dietitian | 133VN1006X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Spinal Cord Injury Medicine Physician | 2081P0004X | |||
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
5700 100TH Street SE
Suite 510
Lakewood, WA 98499
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (253) 792-6526
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1275159592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "253-792-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 100TH STREET SE",
"address_2": "SUITE 510",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "98499",
"telephone_number": "253-792-6526",
"fax_number": "253-792-6526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEA-MAR COMMUNITY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-23",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "BARTOLO",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "206-763-5277"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.