Organization Active NPI

Intertwined Wellness Care

  • Primary Care Clinic/Center
  • Olympia, WA
National Provider Identifier
1801609292
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Mar 28, 2026

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

Authorized official

Name
Shana Charles, ARNPNPI 1437179546
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.