Organization Active NPI

Suquamish Tribal

Doing business as Suquamish Wellness SUDP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Suquamish, WA
National Provider Identifier
1366348294
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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)CodeLicenseStatePrimary
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 Doing business as

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.

Verify at the official NPI Registry.