Active NPI
Intertwined Wellness Care
- Primary Care Clinic/Center
- Olympia, WA
National Provider Identifier
1801609292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- INTERTWINED WELLNESS CARE
- Practice address
- 3624 Ensign Rd NE Ste F
Olympia, WA 98506-5114 - Phone
- (360) 226-8153
- NPI assigned
- Jan 29, 2025
- 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
- Shana Charles, ARNP
- Title
- Arnp
- Phone
- (360) 259-8300
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
3624 Ensign Rd NE Ste F
Olympia, WA 98506-5114
Mailing address
400 Cooper Point Rd SW # 11533
Olympia, WA 98502-8705
Phone (360) 259-8300
National Provider Directory
National Provider DirectoryLocations
400 Cooper Point Rd SW
#11533
Olympia, WA 98502
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Olympia, WA
- NPI 1437179546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774656000000",
"number": "1801609292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COOPER POINT RD SW # 11533",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028705",
"telephone_number": "360-259-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3624 ENSIGN RD NE STE F",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065114",
"telephone_number": "360-226-8153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERTWINED WELLNESS CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-29",
"last_updated": "2026-03-28",
"certification_date": "2026-03-28",
"status": "A",
"authorized_official_last_name": "CHARLES",
"authorized_official_first_name": "SHANA",
"authorized_official_title_or_position": "ARNP",
"authorized_official_telephone_number": "360-259-8300",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.