Active NPI
Prohealth Providers LLC
Doing business as none
- Clinic/Center
- Puyallup, WA
National Provider Identifier
1922751346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PROHEALTH PROVIDERS LLC
- Doing business as
- none
- Practice address
- 10908 56TH Avenue CT E Apt P302
Puyallup, WA 98373-5763 - Phone
- (125) 353-3355
- NPI assigned
- Jan 27, 2022
- Last updated
- Jan 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Bell
- Title
- Governor
- Phone
- (253) 533-3553
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
10908 56TH Avenue CT E Apt P302
Puyallup, WA 98373-5763
Mailing address
10908 56TH Avenue CT E Apt P302
Puyallup, WA 98373-5763
Phone (125) 353-3355
Other names 1
- none
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Puyallup, WA
- NPI 1811651474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643241600000",
"number": "1922751346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10908 56TH AVENUE CT E APT P302",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983735763",
"telephone_number": "125-353-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10908 56TH AVENUE CT E APT P302",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983735763",
"telephone_number": "125-353-3355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROHEALTH PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "GOVERNOR",
"authorized_official_telephone_number": "253-533-3553"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Puyallup, WA
- Dawn Marie Prieto, MSW, MHP
- Prime Health Clinic PLLC
- Francis E Prince, ARNP
- Kathleen Pritchard, LMHC
- Jo Winter Proginoskes, MA, LMHCA
- Proliance Surgeons Inc P S (Proliance Surgery Center at Rainier)
- Proliance Surgeons Inc PS (Proliance Hillside Medical Surgery Center)
- Proliance Surgeons, Inc., P.S. (Puyallup Ambulatory Surgery Center)
- Proliance Surgeons, Inc., P.S. (Proliance Puyallup Surgeons)
- Proliance Surgeons, Inc., P.S. (Proliance Ear Nose Throat and Allergy Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.