NPIMap

Organization Active NPI

Sound Pain Alliance

Doing business as Peninsula Pain Clinic

  • Pain Clinic/Center
  • Silverdale, WA
National Provider Identifier
1740666411
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
SOUND PAIN ALLIANCE
Doing business as
Peninsula Pain Clinic
Practice address
9927 Mickelberry Rd NW Ste 101
Silverdale, WA 98383-7861
Phone
(360) 692-2330
Fax
(360) 692-2329
NPI assigned
Aug 5, 2015
Last updated
Jul 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Erika Stuit, RN
Title
Administrator
Phone
(360) 752-0518

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Pain Clinic/Center 261QP3300X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Interventional Pain Medicine Physician 208VP0014X OP00001595 WA

Addresses

Primary practice location

9927 Mickelberry Rd NW Ste 101
Silverdale, WA 98383-7861

Mailing address

PO Box 39324
Lakewood, WA 98496-3324
Phone (253) 983-9390

Other identifiers 1

IdentifierTypeStateIssuer
OP00001595OtherWALICENSE

Other names 1

  • Peninsula Pain Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1740666411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39324",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984963324",
            "telephone_number": "253-983-9390",
            "fax_number": "253-983-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9927 MICKELBERRY RD NW STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837861",
            "telephone_number": "360-692-2330",
            "fax_number": "360-692-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND PAIN ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "STUIT",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-752-0518",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WA",
            "license": "OP00001595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OP00001595",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.