NPIMap

Organization Active NPI

Upper Skagit Indian Tribe

  • Federally Qualified Health Center (FQHC)
  • Sedro Woolley, WA
National Provider Identifier
1336129295
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UPPER SKAGIT INDIAN TRIBE
Practice address
25959 Community Plaza Way
Sedro Woolley, WA 98284-9721
Phone
(360) 854-7070
Fax
(360) 854-7060
NPI assigned
Jan 18, 2006
Organization subpart
Yes
Parent organization
UPPER SKAGIT INDIAN TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Ms. Marilyn M Scott
Title
Tribal Vice-Chairman
Phone
(360) 854-7039

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X CP00001654 WA
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X ;H00008445 WA
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X RC00047287 WA
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X DI00001414 WA
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X LP00022558 WA
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X MD00012663 WA
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X MD00012663 WA
Federally Qualified Health Center (FQHC) 261QF0400X WA Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X AP30006120 WA

Addresses

Primary practice location

25959 Community Plaza Way
Sedro Woolley, WA 98284-9721

Mailing address

25944 Community Plaza Way
Sedro Woolley, WA 98284-9721
Phone (360) 854-7070

Other identifiers 8

IdentifierTypeStateIssuer
1995281MedicaidWA
1981323MedicaidWA
8466286MedicaidWA
7084338MedicaidWA
8024291MedicaidWA
9645573MedicaidWA
7203805MedicaidWA
1008805MedicaidWA

Other names 1

  • Upper Skagit Tribal Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080513000705 TX Part B Supplier - Clinic/Group Practice 2264501535 Receives reassigned benefits from 2 practitioners
Practice locations: Sedro Woolley, WA

National Provider Directory

National Provider Directory
Part of
Upper Skagit Indian Tribe

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1336129295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25944 COMMUNITY PLAZA WAY",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849721",
            "telephone_number": "360-854-7070",
            "fax_number": "360-854-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25959 COMMUNITY PLAZA WAY",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849721",
            "telephone_number": "360-854-7070",
            "fax_number": "360-854-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER SKAGIT INDIAN TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPPER SKAGIT INDIAN TRIBE",
        "enumeration_date": "2006-01-18",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TRIBAL VICE-CHAIRMAN",
        "authorized_official_telephone_number": "360-854-7039",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001654",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": ";H00008445",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WA",
            "license": "RC00047287",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001414",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "LP00022558",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00012663",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00012663",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1995281",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1981323",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8466286",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7084338",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8024291",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9645573",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7203805",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008805",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Skagit Tribal Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Upper Skagit Tribal Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.