Individual provider Active NPI

Bethany M Sweet, M.D.

  • Family Medicine Physician
  • Lacey, WA
National Provider Identifier
1821240904
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60155686 Issued in WA
Practice address
4525 Intelco Loop SE Ste 205
Lacey, WA 98503-5117
Phone
(360) 472-4785
Fax
(360) 299-6116
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X MD60155686 WA
Family Medicine Physician 207Q00000X MD60155686 WA Primary

Addresses

Primary practice location

4525 Intelco Loop SE Ste 205
Lacey, WA 98503-5117

Mailing address

4525 Intelco Loop SE Ste 205
Lacey, WA 98503-5117
Phone (360) 472-4785

Other identifiers 2

IdentifierTypeStateIssuer
273969OtherWAL&I
1821240904MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 22, 2025 through Dec 22, 2027

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 Tahoma Blvd
Unit 102
Yelm, WA 98597-7735

Hospital & facility affiliations

  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Lacey Post Acute & Rehabilitation Nursing home, Lacey, WA, CCN 505525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60155686WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Life Wellness Direct Primary Care, LLC Family Medicine CurrentSince Dec 21, 2025 Accepting new patients
Lacey SNF Operations LLC Past Accepting new patients

Locations

4525 Intelco Loop SE
Ste 205
Lacey, WA 98503
Phone (360) 472-4785

Interoperability endpoints

  • Direct secure messaging: bethany.sweet@yfm.directbygreenway.com
  • Direct secure messaging: bsweet95059@wm.providencedirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1821240904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 INTELCO LOOP SE STE 205",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035117",
            "telephone_number": "360-472-4785",
            "fax_number": "360-299-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 INTELCO LOOP SE STE 205",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035117",
            "telephone_number": "360-472-4785",
            "fax_number": "360-299-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEET",
        "first_name": "BETHANY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "WA",
            "license": "MD60155686",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60155686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "273969",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821240904",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.