Active NPI
Suquamish Tribal
Doing business as Suquamish Wellness SUDP
- Substance Use Disorder Rehabilitation Clinic/Center
- Suquamish, WA
National Provider Identifier
1366348294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SUQUAMISH TRIBAL
- Doing business as
- Suquamish Wellness SUDP
- Practice address
- 18490 Suquamish Way NE Unit 107
Suquamish, WA 98392-9533 - Phone
- (360) 394-8558
- Fax
- (360) 598-1724
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 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
- Rebecca A Jones
- Title
- Compliance Officer and Credentialer
- Phone
- (360) 394-1423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | Primary |
Addresses
Primary practice location
18490 Suquamish Way NE Unit 107
Suquamish, WA 98392-9533
Mailing address
PO Box 1228
Suquamish, WA 98392-1228
Phone (360) 394-1423
Other names 1
- Suquamish Wellness SUDP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792108800000",
"number": "1366348294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1228",
"city": "SUQUAMISH",
"state": "WA",
"postal_code": "983921228",
"telephone_number": "360-394-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18490 SUQUAMISH WAY NE UNIT 107",
"city": "SUQUAMISH",
"state": "WA",
"postal_code": "983929533",
"telephone_number": "360-394-8558",
"fax_number": "360-598-1724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUQUAMISH TRIBAL",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "COMPLIANCE OFFICER AND CREDENTIALER",
"authorized_official_telephone_number": "360-394-1423"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Suquamish Wellness SUDP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suquamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.