Individual provider Active NPI

Daniel Jacob Tolson, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Puyallup, WA
National Provider Identifier
1851358030
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
MD60954756 Issued in WA
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

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL4 enrollments
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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250102002660 AK Practitioner - Pediatric MedicinePractitioner - Other (Physician) 5193955847 Reassigns benefits to 1 organization
I20250618002698 ID Practitioner - Pediatric Medicine 5193955847 Reassigns benefits to 1 organization
I20251209004577 WA Practitioner - Pediatric Medicine 5193955847 Reassigns benefits to 1 organization
I20260407002279 IL Practitioner - Pediatric Medicine 5193955847 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4071469IDMDDevelopmental - Behavioral Pediatrics Physician
01061661AINMDDevelopmental - Behavioral Pediatrics Physician
V5138TXMDDevelopmental - Behavioral Pediatrics Physician
60954756WAMDDevelopmental - Behavioral Pediatrics Physician
MD60954756WAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Pediatrics CurrentSince Jun 6, 2025 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Nov 28, 2025 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Nov 28, 2025 Accepting new patients
Providence Health & Services- Washington CurrentSince Dec 11, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.