Active NPI
Live Well Psychiatry
- Psychiatric Hospital Unit
- Puyallup, WA
National Provider Identifier
1477237618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- LIVE WELL PSYCHIATRY
- Practice address
- 3005 13TH Avenue CT NW
Puyallup, WA 98371-3896 - Phone
- (125) 324-5866
- NPI assigned
- Jun 8, 2023
- Last updated
- Jun 8, 2023
- 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
- Mrs. Stephanie Lamigo Brooks, ARNP
- Title
- Owner
- Phone
- (253) 245-8668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Primary |
Addresses
Primary practice location
3005 13TH Avenue CT NW
Puyallup, WA 98371-3896
Mailing address
3005 13TH Avenue CT NW
Puyallup, WA 98371-3896
Phone (125) 324-5866
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Federal Way, WA
- NPI 1811410657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1477237618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 13TH AVENUE CT NW",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983713896",
"telephone_number": "125-324-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 13TH AVENUE CT NW",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983713896",
"telephone_number": "125-324-5866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVE WELL PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "LAMIGO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-245-8668",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.