NPIMap

Organization Active NPI

Bluestone Wellness PLLC

Doing business as Bluestone Wellness

  • Health Service Clinic/Center
  • University Place, WA
National Provider Identifier
1356654636
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BLUESTONE WELLNESS PLLC
Doing business as
Bluestone Wellness
Practice address
8514 49TH St W
University Place, WA 98467-1810
Phone
(253) 380-0434
NPI assigned
Jul 15, 2010
Last updated
Jun 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Rachel Antonina Iacobazzi Riecan, LMPNPI 1558590521
Title
Owner
Phone
(253) 380-0434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

8514 49TH St W
University Place, WA 98467-1810

Mailing address

9805 NE 116TH St, PMB# 7238
Kirkland, WA 98034
Phone (253) 380-0434

Other names 1

  • Bluestone Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1356654636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 NE 116TH ST, PMB# 7238",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "253-380-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8514 49TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984671810",
            "telephone_number": "253-380-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "IACOBAZZI RIECAN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANTONINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-380-0434",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluestone Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.