Organization Active NPI

Collaborative Care &Wellness

  • Primary Care Clinic/Center
  • Puyallup, WA
National Provider Identifier
1942120977
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COLLABORATIVE CARE &WELLNESS
Practice address
4301 South Meridian Avenue
Suite C
Puyallup, WA 98373
Phone
(253) 663-6683
Fax
(253) 289-7712
NPI assigned
Jul 20, 2026
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Dr. Jillian Trecia Edwards, ARNP
Title
Owner
Phone
(253) 663-6683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4301 South Meridian Avenue
Suite C
Puyallup, WA 98373

Mailing address

522 W Riverside Ave Ste N
Spokane, WA 99201-0581
Phone (253) 663-6683

National Provider Directory

National Provider Directory

Locations

4301 S Meridian
Ste C
Puyallup, WA 98373

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1942120977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010581",
            "telephone_number": "253-663-6683",
            "fax_number": "253-289-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 SOUTH MERIDIAN AVENUE",
            "address_2": "SUITE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "253-663-6683",
            "fax_number": "253-289-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE CARE &WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "TRECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-663-6683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 29, 2026; 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.