NPIMap

Organization Active NPI

Stillaguamish Tribe of Indians

  • Substance Abuse Rehabilitation Facility
  • Arlington, WA
National Provider Identifier
1801129754
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
STILLAGUAMISH TRIBE OF INDIANS
Practice address
5700 172ND St NE # a
Arlington, WA 98223-7742
Phone
(360) 652-9640
Fax
(360) 652-2093
NPI assigned
Sep 10, 2009
Organization subpart
Yes
Parent organization
STILLAGUAMISH TRIBE OF INDIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Mrs. Krista Yandle
Title
Billing Supervisor
Phone
(360) 652-9640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5700 172ND St NE # a
Arlington, WA 98223-7742

Mailing address

5700 172ND St NE #a
Arlington, WA 98223-4224
Phone (360) 652-9640

Other identifiers 1

IdentifierTypeStateIssuer
1994565MedicaidWA

Other names 1

  • Stillaguamish Tribe of Indians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stillaguamish Tribe of Indians11 organizations share this tax ID, including this one
Part of
Stillaguamish Tribe of Indians

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21123 Smokey Point Blvd
Arlington, WA 98223
Phone (360) 652-9640

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1801129754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 172ND ST NE #A",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234224",
            "telephone_number": "360-652-9640",
            "fax_number": "360-652-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 172ND ST NE # A",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982237742",
            "telephone_number": "360-652-9640",
            "fax_number": "360-652-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLAGUAMISH TRIBE OF INDIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STILLAGUAMISH TRIBE OF INDIANS",
        "enumeration_date": "2009-09-10",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "YANDLE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "360-652-9640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1994565",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stillaguamish Tribe of Indians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stillaguamish Tribe of Indians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.