Organization Active NPI

Everwell Primary Care PLLC

  • Primary Care Clinic/Center
  • Puyallup, WA
National Provider Identifier
1316890379
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EVERWELL PRIMARY CARE PLLC
Practice address
19108 106TH Avenue CT E
Puyallup, WA 98374-6491
Phone
(206) 822-2210
NPI assigned
Feb 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Tackesha Tanesha Thomas, FNP-C, ARNP
Title
Owner
Phone
(206) 822-2210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

19108 106TH Avenue CT E
Puyallup, WA 98374-6491

Mailing address

19108 106TH Avenue CT E
Puyallup, WA 98374-6491
Phone (206) 822-2210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1316890379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19108 106TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983746491",
            "telephone_number": "206-822-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19108 106TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983746491",
            "telephone_number": "206-822-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERWELL PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TACKESHA",
        "authorized_official_middle_name": "TANESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-822-2210",
        "authorized_official_credential": "FNP-C, ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

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

Verify at the official NPI Registry.