Organization Active NPI

Marys Access Clinic PLLC

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1942959622
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MARYS ACCESS CLINIC PLLC
Practice address
2302 S Union Ave Ste C26
Tacoma, WA 98405-1334
Phone
(425) 444-2314
Fax
(253) 981-0922
NPI assigned
Mar 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Mary Bulega-Kasagga, NP-CNPI 1811492440
Title
Arnp
Phone
(253) 228-8131

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2302 S Union Ave Ste C26
Tacoma, WA 98405-1334

Mailing address

2302 S Union Ave Ste C26
Tacoma, WA 98405-1334
Phone (425) 444-2314

Other practice location 1

815 S Vassault St
Tacoma, WA 98465-2008
Phone (425) 444-2314

Other identifiers 1

IdentifierTypeStateIssuer
2221688MedicaidWA

Other names 1

  • M.A.C Health care, M.A.C Aesthetics Doing business as

National Provider Directory

National Provider Directory

Locations

11201 SE Kent Kangley Rd
Kent, WA 98030
Phone (206) 900-4800

2302 S Union Ave
Ste C26
Tacoma, WA 98405
Phone (253) 752-5160

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1942959622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE C26",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051334",
            "telephone_number": "425-444-2314",
            "fax_number": "253-981-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 S UNION AVE STE C26",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051334",
            "telephone_number": "425-444-2314",
            "fax_number": "253-981-0922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 S Vassault St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984652008",
            "country_code": "US",
            "telephone_number": "425-444-2314",
            "fax_number": "253-981-0922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARYS ACCESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "BULEGA-KASAGGA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "253-228-8131",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2221688",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.A.C Health care, M.A.C Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M.A.C Health care, M.A.C Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.