Active NPI
University of Puget Sound
- Student Health Clinic/Center
- Tacoma, WA
National Provider Identifier
1770557290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- License
- RN00036600
- Legal business name
- UNIVERSITY OF PUGET SOUND
- Practice address
- 1500 N Warner St
CMB 1035
Tacoma, WA 98416-5000 - Phone
- (253) 879-1555
- Fax
- (253) 879-3766
- NPI assigned
- Feb 13, 2006
- Last updated
- Aug 22, 2020
- 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
- Mrs. Linda M Everson, RN-C
- Title
- Assist Director/Medical Coordinator
- Phone
- (253) 879-1555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | RN00036600 | WA | Primary |
Addresses
Primary practice location
1500 N Warner St
CMB 1035
Tacoma, WA 98416-5000
Mailing address
1500 N Warner St
CMB 1035
Tacoma, WA 98416-5000
Phone (253) 879-1555
Other names 1
- Counseling, Health & Wellness Services
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0882352 | Counseling, Health & Wellness | Provider-performed microscopy | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
1500 N Warner St
Stop 1035
Tacoma, WA 98416
Phone (253) 879-1555
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Physician Assistant
- Tacoma, WA
- NPI 1700100385
-
- Family Nurse Practitioner
- Tacoma, WA
- NPI 1033846449
-
- Medical Physician Assistant
- Tacoma, WA
- NPI 1679028039
-
- Clinical Psychologist
- Cedar Park, TX
- NPI 1760680730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770557290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N WARNER ST",
"address_2": "CMB 1035",
"city": "TACOMA",
"state": "WA",
"postal_code": "984165000",
"telephone_number": "253-879-1555",
"fax_number": "253-879-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N WARNER ST",
"address_2": "CMB 1035",
"city": "TACOMA",
"state": "WA",
"postal_code": "984165000",
"telephone_number": "253-879-1555",
"fax_number": "253-879-3766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF PUGET SOUND",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EVERSON",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ASSIST DIRECTOR/MEDICAL COORDINATOR",
"authorized_official_telephone_number": "253-879-1555",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN-C"
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": "WA",
"license": "RN00036600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Counseling, Health & Wellness Services",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.