Birds Eye Medical PLLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

BIRDS EYE MEDICAL PLLC

Practice address

2641 Willamette Dr NE Ste a
Lacey, WA 98516-1360

Phone

(702) 640-0428

Fax

(360) 347-6620

NPI assigned

Nov 18, 2025

Organization subpart

No

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

Authorized official

Name

Sherlonda Allen

Title

Biller/Credentialer

Phone

(702) 640-0428

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1497615710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 WILLAMETTE DR NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161360",
            "telephone_number": "702-640-0428",
            "fax_number": "360-347-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 WILLAMETTE DR NE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161360",
            "telephone_number": "702-640-0428",
            "fax_number": "360-347-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDS EYE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SHERLONDA",
        "authorized_official_title_or_position": "BILLER/CREDENTIALER",
        "authorized_official_telephone_number": "702-640-0428"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Lane Best
• Katherine Betanco
• Jeanne Betts, LMP
• Rohaan Kaizad Billimoria
• Deanna Billings, L.M.P.
• Rachel Birnstiehl
• David Paul Blanchard, PT
• Devin Blas
• Holly M Blue, LMFTA
• Aaron David Blume

• Public Health & General Preventive Medicine Physician in Lacey, WA
• Providers in Lacey, WA by specialty
• Public Health & General Preventive Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.