NPIMap

Organization Active NPI

Sound Pain Alliance

Doing business as Puget Sound Pain Clinic

  • Pain Clinic/Center
  • Puyallup, WA
National Provider Identifier
1902420326
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
SOUND PAIN ALLIANCE
Doing business as
Puget Sound Pain Clinic
Practice address
120 14TH Ave SE Ste D
Puyallup, WA 98372-3718
Phone
(253) 200-2144
NPI assigned
Jun 1, 2020
Last updated
Nov 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Erika Stuit
Title
Administrator
Phone
(360) 752-0518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

120 14TH Ave SE Ste D
Puyallup, WA 98372-3718

Mailing address

4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077
Phone (360) 752-0518

Other names 1

  • Puget Sound Pain Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130000555 WA DME Supplier - Multi-Specialty - Physician 0941565162 Practice locations: Puyallup, WA

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Sound Pain Alliance26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1902420326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 NORTHWEST AVE STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269077",
            "telephone_number": "360-752-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 14TH AVE SE STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723718",
            "telephone_number": "253-200-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND PAIN ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2021-11-05",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "STUIT",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-752-0518"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Puget Sound Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.