Active NPI
Bethany M Sweet, M.D.
- Family Medicine Physician
- Lacey, WA
National Provider Identifier
1821240904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60155686
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273969 | Other | WA | L&I |
| 1821240904 | Medicaid | WA |
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
- 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
- Lacey Post Acute & Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60155686 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweet Life Wellness Direct Primary Care, LLC | Family Medicine | Current | 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
- bethany.sweet@yfm.directbygreenway.com
- 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.
-
- Family Medicine Physician
- Lacey, WA
- NPI 1588546998
-
- Skilled Nursing Facility
- Lacey, WA
- NPI 1760180780
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.