Active NPI
Loving Heart PLLC
- Family Medicine Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LOVING HEART PLLC
- Practice address
- 4610 6TH Street PL SE
Puyallup, WA 98374-5791 - Phone
- (878) 228-0000
- NPI assigned
- Oct 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Junior Germeille, NP
- Title
- Owner
- Phone
- (239) 888-7400
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4610 6TH Street PL SE
Puyallup, WA 98374-5791
Mailing address
4610 6TH Street PL SE
Puyallup, WA 98374-5791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, FL
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
616 Lilly Rd NE
Olympia, WA 98506
Phone (360) 339-5272
400 Union Ave SE
Ste 200
Olympia, WA 98501
Phone (202) 375-4508
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": "1698192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1720850563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 6TH STREET PL SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983745791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 6TH STREET PL SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983745791",
"telephone_number": "878-228-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVING HEART PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-25",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "GERMEILLE",
"authorized_official_first_name": "JUNIOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-888-7400",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.