Individual provider Active NPI

Leonard Robert Puett III, PA-C

  • Physician Assistant
  • Tacoma, WA
National Provider Identifier
1396045639
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60195245 Issued in WA
Practice address
1148 Broadway Ste 100
Tacoma, WA 98402-3518
Phone
(253) 722-2161
NPI assigned
Nov 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60195245 WA Primary

Addresses

Primary practice location

1148 Broadway Ste 100
Tacoma, WA 98402-3518

Mailing address

2420 S Union Ave Ste 300
Tacoma, WA 98405-1387
Phone (253) 680-6200

Other names 1

  • Robert Puett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107001002 WA Practitioner - Physician Assistant 2769671619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60195245WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care CurrentSince Nov 21, 2023 Accepting new patients
Sea Mar Community Health Centers Physician Assistant CurrentSince Nov 14, 2010 Accepting new patients
Community Health Care CurrentSince Nov 21, 2023 Accepting new patients
Multicare Health System CurrentSince Jan 17, 2024 Accepting new patients
Multicare Health System CurrentSince Jan 17, 2024 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304

1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742

1112 S Cushman Ave
Tacoma, WA 98405
Phone (253) 593-2144

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

2420 S Union Ave
Ste 300
Tacoma, WA 98405
Phone (206) 756-0888

4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA
  • Direct secure messaging: leonard.puettpac.p1@direct.chc-tacoma.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1396045639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S UNION AVE STE 300",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051387",
            "telephone_number": "253-680-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 BROADWAY STE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023518",
            "telephone_number": "253-722-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUETT",
        "first_name": "LEONARD",
        "middle_name": "ROBERT",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60195245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "PUETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.