Organization Active NPI

Pure Infusion of Washington LLC

  • Multi-Specialty Clinic/Center
  • Tacoma, WA
National Provider Identifier
1598647976
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PURE INFUSION OF WASHINGTON LLC
Practice address
1818 S Union Ave Ste 2B
Tacoma, WA 98405-1953
Phone
(253) 393-2700
NPI assigned
Jul 24, 2025
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Rachel Ann Fraga
Title
Director of Payer Development
Phone
(801) 590-9267

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Multi-Specialty Clinic/Center 261QM1300X Primary
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

1818 S Union Ave Ste 2B
Tacoma, WA 98405-1953

Mailing address

75 W Towne Ridge Pkwy Tower 2 Ste 500
Sandy, UT 84070-5531
Phone (801) 590-9267

Other practice location 1

360 Lilly Rd NE Ste B
Olympia, WA 98506-5430
Phone (801) 590-9267

Other practice location 2

8308 E Mill Plain Blvd Ste 102
Vancouver, WA 98664-2066
Phone (801) 590-9267

Other practice location 3

12515 Willows Rd NE Ste 500
Kirkland, WA 98034-8762
Phone (801) 590-9267

Other practice location 4

105 S 1st St Ste 100
Yakima, WA 98901-2826
Phone (801) 590-9267

Other practice location 5

16201 E Indiana Ave Ste 3100
Spokane Valley, WA 99216-2844
Phone (801) 590-9267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251008004060 WA Part B Supplier - Clinic/Group Practice 9830696566 Receives reassigned benefits from 5 practitioners
Practice locations: Yakima, WA; Vancouver, WA; Tacoma, WA; Olympia, WA; Spokane Valley, WA; Kirkland, WA

National Provider Directory

National Provider Directory

Locations

16201 E Indiana Ave
Ste 3100
Spokane Valley, WA 99216
Phone (509) 418-9880

1818 S Union Ave
Ste 2B
Tacoma, WA 98405
Phone (253) 393-2700

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1598647976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W TOWNE RIDGE PKWY TOWER 2 STE 500",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705531",
            "telephone_number": "801-590-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S UNION AVE STE 2B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051953",
            "telephone_number": "253-393-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Lilly Rd NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065430",
            "country_code": "US",
            "telephone_number": "801-590-9267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8308 E Mill Plain Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986642066",
            "country_code": "US",
            "telephone_number": "801-590-9267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12515 Willows Rd NE Ste 500",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980348762",
            "country_code": "US",
            "telephone_number": "801-590-9267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 S 1st St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989012826",
            "country_code": "US",
            "telephone_number": "801-590-9267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16201 E Indiana Ave Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992162844",
            "country_code": "US",
            "telephone_number": "801-590-9267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE INFUSION OF WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER DEVELOPMENT",
        "authorized_official_telephone_number": "801-590-9267"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.