North Olympic Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00001386 Issued in WA

Legal business name

NORTH OLYMPIC FAMILY PRACTICE

Practice address

593 Williamson Rd
Sequim, WA 98382-3037

Phone

(360) 683-5900

Fax

(360) 582-4800

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald C. Manuele, D.O.

Title

Owner

Phone

(360) 460-0794

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dekker Nolan McKeever, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Port Angeles, WA
  • NPI 1801112651
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1881876969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983821089",
            "telephone_number": "360-683-7246",
            "fax_number": "360-582-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 WILLIAMSON RD",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823037",
            "telephone_number": "360-683-5900",
            "fax_number": "360-582-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OLYMPIC FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "MANUELE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-460-0794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7048598",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CS4986",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agnieszka J. Niemeyer, MD
• Clarisse E Noel, M.D.
• Morgan Lacey Nolan, LMP
• North Coast Eye Care LLC
• North Coast Nomad LLC
• Northwest Bras LLC
• Northwest Eye & Skin Surgeons Inc PS
• Northwest Fitness LLC
• Northwest Massage and Holistic Healing Center
• Northwest Pain Relief Centers, LLC

• Family Medicine Physician in Sequim, WA
• Providers in Sequim, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.