Nick Bacolod

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5929 Westgate Blvd Ste a
Tacoma, WA 98406-2567

Phone

(253) 503-0226

NPI assigned

Jul 24, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Rainier Internal Medicine LLC

  dba Northwest Integrated Health

  • Primary Care Clinic/Center
  • Lakewood, WA
  • NPI 1972735157
  NPD (past)

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831612688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 WESTGATE BLVD STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062567",
            "telephone_number": "253-503-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 WESTGATE BLVD STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062567",
            "telephone_number": "253-503-0226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9210 78th St SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984983906",
            "country_code": "US",
            "telephone_number": "253-304-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACOLOD",
        "first_name": "NICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Backer, LMP
• Stefanie Backer
• Jeff G. Backman
• Mareesha Mornae Backman, BA
• Mary-Paul Backman, CNM
• Patrick Nephi Bacon, M.D.
• Lindsay Ann Bader, LICSW
• Terry Lynn Bader, MSW LSCW BCD
• Tammy Lynn Badger, MA, RC
• Peter Michael Badrov

• Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.