NPIMap

Organization Active NPI

Nurturing Expressions LLC

  • Durable Medical Equipment & Medical Supplies
  • Poulsbo, WA
National Provider Identifier
1811445141
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NURTURING EXPRESSIONS LLC
Practice address
19950 7TH Ave NE Suite 102
Poulsbo, WA 98370-4476
Phone
(360) 930-0218
Fax
(360) 930-8383
NPI assigned
Sep 15, 2016
Last updated
Jun 4, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NURTURING EXPRESSIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Authorized official

Name
Tracy Corey, RN, IBCLC, CFMNPI 1346399250
Title
Ceo, Co-Owner
Phone
(206) 763-2733

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WA Primary
Lactation Consultant (Registered Nurse) 163WL0100X NU
Lactation Consultant (Non-RN) 174N00000X NU

Addresses

Primary practice location

19950 7TH Ave NE Suite 102
Poulsbo, WA 98370-4476

Mailing address

PO Box 47163
Seattle, WA 98146-7163
Phone (206) 763-2733

Other identifiers 1

IdentifierTypeStateIssuer
9055575MedicaidWA

Other names 1

  • Optimum Wellness Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221001471 WA DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Orthotic Personnel 0840440392 Practice locations: Poulsbo, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Nurturing Expressions LLC4 organizations share this tax ID, including this one
Part of
Nurturing Expressions LLC

Other organizations with this tax ID 3

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

Locations

19410 8th Ave NE
Ste 103
Poulsbo, WA 98370
Phone (206) 763-2733

19950 7th Ave NE
Ste 102
Poulsbo, WA 98370
Phone (360) 930-0218

4746 44th Ave SW
Ste 201
Seattle, WA 98116
Phone (206) 763-2733

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1811445141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47163",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981467163",
            "telephone_number": "206-763-2733",
            "fax_number": "206-763-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19950 7TH AVE NE SUITE 102",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983704476",
            "telephone_number": "360-930-0218",
            "fax_number": "360-930-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING EXPRESSIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NURTURING EXPRESSIONS LLC",
        "enumeration_date": "2016-09-15",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO, CO-OWNER",
        "authorized_official_telephone_number": "206-763-2733",
        "authorized_official_credential": "RN, IBCLC, CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9055575",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Optimum Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.