Healthy Life Physicians Group Pacific Northwest, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHY LIFE PHYSICIANS GROUP PACIFIC NORTHWEST, P.C.

Practice address

1455 NW Leary Way Ste 400
Seattle, WA 98107-5138

Phone

(617) 505-1520

Fax

(617) 928-8401

NPI assigned

Mar 22, 2022

Organization subpart

No

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

Authorized official

Name

Emily Smith, MDNPI 1386906089

Title

President

Phone

(617) 505-1520

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 7

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

• Emily Daviau Smith, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Chicago, IL
  • NPI 1386906089

  WA

  Medicare reassignment Authorized official
• Lisa Marie Gause, FNP-BC

  • Family Nurse Practitioner
  • Bakersfield, CA
  • NPI 1932302973
  NPD (past)
• Ana Maria Mendez, M.D.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1033597125

  Single Specialty

  NPD (past)
• Angelica Romero Neison, MD

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1770787137
  NPD (past)
• Troy Matthew Russell, M.D.

  • Family Medicine Physician
  • Denver, CO
  • NPI 1649513615
  NPD (past)
• Kimberly Newsome Sims, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1205156387
  NPD (past)
• Lara Enid Smith, MD

  • Family Medicine Physician
  • Boston, MA
  • NPI 1215386800
  NPD (past)

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1558010132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STATE STREET",
            "address_2": "5TH FL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092906",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075138",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFE PHYSICIANS GROUP PACIFIC NORTHWEST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-505-1520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.