NPIMap

Organization Active NPI

Sisu Health PC

  • Clinic/Center
  • Olympia, WA
National Provider Identifier
1689273955
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SISU HEALTH PC
Practice address
1824 Black Lake Blvd SW Ste 101
Olympia, WA 98512-5714
Phone
(970) 331-1507
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Dr. Jennifer Joy, NDNPI 1023553591
Title
Owner
Phone
(970) 331-1507

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1824 Black Lake Blvd SW Ste 101
Olympia, WA 98512-5714

Mailing address

PO Box 1401
Gig Harbor, WA 98335-3401
Phone (253) 549-9216

National Provider Directory

National Provider Directory

Locations

1824 Black Lake Blvd SW
Ste 101
Olympia, WA 98512
Phone (970) 331-1507

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22554/brand/1/csg/1/fhir/r4

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": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1689273955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1401",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983353401",
            "telephone_number": "253-549-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 BLACK LAKE BLVD SW STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125714",
            "telephone_number": "970-331-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "JOY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-331-1507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.