Active NPI
Everwell Primary Care PLLC
- Primary Care Clinic/Center
- Puyallup, WA
National Provider Identifier
1316890379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.