Bethany Stull, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 60622268 Issued in WA

Practice address

1310 S Union Ave
Ste a-202
Tacoma, WA 98405-1907

Phone

(253) 507-4631

NPI assigned

Feb 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Complete Chiropractic & Massage LLC

  • Chiropractor
  • Tacoma, WA
  • NPI 1922405356
  NPD (past)

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1508304585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SW 320TH ST APT 25",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232260",
            "telephone_number": "253-797-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S UNION AVE",
            "address_2": "STE A-202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051907",
            "telephone_number": "253-507-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "BETHANY",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60622268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP",
            "identifier": "47-1101118",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert E. Stuart, M.D.
• Eileen Kathryn Stubblefield, L.M.H.C.
• Kizziea Terry Stubblefield, AAC
• Linda Natalia Stuckert
• Maria Stukenborg, MS, RDN
• Peter Stull, MD
• Veronica Stull, LPN
• Ralph Wayne Stumbo Jr.
• Cheryl Ann Stump
• Hayley Stumpf, RDH

• Specialist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.