Active NPI
Daniel Jacob Tolson, M.D.
- Developmental - Behavioral Pediatrics Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- MD60954756
- Practice address
- 17615 85TH Avenue CT E
Puyallup, WA 98375-1902 - Phone
- (425) 998-7529
- NPI assigned
- Apr 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 60954756 | WA | |
| Pediatrics Physician | 208000000X | 60954756 | WA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | V5138 | TX | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 230508 | AK | |
| Pediatrics Physician | 208000000X | 01061661A | IN | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 01061661A | IN | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | MD60954756 | WA | Primary |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 4071469 | ID |
Addresses
Primary practice location
17615 85TH Avenue CT E
Puyallup, WA 98375-1902
Mailing address
PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-2395
Other practice location 1
3525 E Louise Dr Ste 250
Meridian, ID 83642-6303
Phone (208) 381-7312
Other practice location 2
3801 Kern Road
Yakima, WA 98902
Phone (509) 574-3238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, ID, WA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1720 Presson PL
Yakima, WA 98903-2238
611 W Park St
Urbana, IL 61801-2501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4071469 | ID | MD | Developmental - Behavioral Pediatrics Physician |
| 01061661A | IN | MD | Developmental - Behavioral Pediatrics Physician |
| V5138 | TX | MD | Developmental - Behavioral Pediatrics Physician |
| 60954756 | WA | MD | Developmental - Behavioral Pediatrics Physician |
| MD60954756 | WA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Pediatrics | Current | Accepting new patients |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Encompass Northwest | Past | Accepting new patients | |
| Kindering Center | Past | Accepting new patients |
Locations
3340 Providence Dr
#A565
Anchorage, AK 99508
Phone (907) 212-2321
920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
3525 E Louise Dr
Ste 250
Meridian, ID 83642
Phone (208) 381-7312
3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200
Interoperability endpoints
- dtolson3649080@ak.providencedirect.org
Organizations & group practices 8
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yakima, WA
- NPI 1295788602
-
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1174659890
-
- Federally Qualified Health Center (FQHC)
- Clatskanie, OR
- NPI 1578000345
-
- Developmental Disabilities Clinic/Center
- Snoqualmie, WA
- NPI 1346389053
-
- Specialist
- Bellevue, WA
- NPI 1275670572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764288000000",
"number": "1851358030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989480190",
"telephone_number": "509-865-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17615 85TH AVENUE CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983751902",
"telephone_number": "425-998-7529"
}
],
"practiceLocations": [
{
"address_1": "3525 E Louise Dr Ste 250",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836426303",
"country_code": "US",
"telephone_number": "208-381-7312",
"fax_number": "208-381-7313",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3801 Kern Road",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "98902",
"country_code": "US",
"telephone_number": "509-574-3238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOLSON",
"first_name": "DANIEL",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-29",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "WA",
"license": "60954756",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "60954756",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "TX",
"license": "V5138",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "AK",
"license": "230508",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01061661A",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "IN",
"license": "01061661A",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "WA",
"license": "MD60954756",
"primary": true
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "ID",
"license": "4071469",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; 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.
- 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.