Organization Active NPI

University of Puget Sound

  • Student Health Clinic/Center
  • Tacoma, WA
National Provider Identifier
1770557290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
RN00036600 Issued in WA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0882352Counseling, Health & Wellness1500 N Warner St #216, Tacoma, WA 98416Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.