Organization Active NPI

Sound Health Medical Supply

  • Customized Equipment (DME)
  • Tacoma, WA
National Provider Identifier
1275703084
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
SOUND HEALTH MEDICAL SUPPLY
Practice address
2811 S 12TH St
Tacoma, WA 98405-2746
Phone
(253) 274-5000
Fax
(253) 572-3111
NPI assigned
Mar 7, 2008
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Courtney Amanda Tebbs
Title
President
Phone
(253) 225-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

2811 S 12TH St
Tacoma, WA 98405-2746

Mailing address

2811 S 12TH St
Tacoma, WA 98405-2746
Phone (253) 274-5000

Other identifiers 1

IdentifierTypeStateIssuer
9062738MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930048230 WA DME Supplier - Medical Supply Company 0042410789 Practice locations: Tacoma, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1275703084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 S 12TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052746",
            "telephone_number": "253-274-5000",
            "fax_number": "253-572-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S 12TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052746",
            "telephone_number": "253-274-5000",
            "fax_number": "253-572-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND HEALTH MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "TEBBS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-225-6770"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9062738",
            "state": "WA"
        }
    ],
    "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 Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.