Organization Active NPI

Rainier Lifestyle Medicine PLLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1528974359
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAINIER LIFESTYLE MEDICINE PLLC
Practice address
25500 Two Creeks
Unit 1811
San Antonio, TX 78255
Phone
(425) 930-9500
NPI assigned
Aug 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Kelly Stowell, ARNP, FNP-C, AGACNP-NPI 1043651169
Title
Owner
Phone
(425) 930-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

25500 Two Creeks
Unit 1811
San Antonio, TX 78255

Mailing address

522 W Riverside Ave Ste N
Spokane, WA 99201-0581
Phone (425) 930-9500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1528974359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010581",
            "telephone_number": "425-930-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 TWO CREEKS",
            "address_2": "UNIT 1811",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78255",
            "telephone_number": "425-930-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER LIFESTYLE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "STOWELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-930-9500",
        "authorized_official_credential": "ARNP, FNP-C, AGACNP-"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.