Redeemed by the Blood Pentecostal Church

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REDEEMED BY THE BLOOD PENTECOSTAL CHURCH

Doing business as

Redeemed Wellness Center

Practice address

8318 Renton Ave S
Seattle, WA 98118-4639

Phone

(206) 518-1921

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqualine Boles, RN/MSNNPI 1598485302

Title

Agency Contact

Phone

(206) 518-1921

Specialties & licenses 1

Addresses

Other names 1

• Redeemed Wellness Center Doing business as

Part of

Redeemed by the Blood Pentecostal Church

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqualine Savanna Boles, RN, CN, MSN

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Seattle, WA
  • NPI 1598485302
  NPD Authorized official

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1508591835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 RENTON AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981184639",
            "telephone_number": "206-518-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8318 RENTON AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981184639",
            "telephone_number": "206-518-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEEMED BY THE BLOOD PENTECOSTAL CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "JACQUALINE",
        "authorized_official_title_or_position": "AGENCY CONTACT",
        "authorized_official_telephone_number": "206-518-1921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN/MSN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redeemed Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gayatri P. Reddy, MD
• Lauren Elizabeth Reddy, ARNP, FNP-BC
• Laxminarsimha Daram Reddy, M.D.
• Sanjit Reddy, M.D.
• Saraga Pannala Reddy, MD
• Nicholas Reder, M.D., M.P.H.
• Rebecca Dawn Reder, PA-C
• Emily Redfield, DNP
• Michael Rediger, MSW
• Evan Kerry Reding

• Community/Behavioral Health Agency in Seattle, WA
• Providers in Seattle, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.