Organization Active NPI

Harbor First Assist Group, LLC

  • Surgery Physician
  • Gig Harbor, WA
National Provider Identifier
1952838906
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HARBOR FIRST ASSIST GROUP, LLC
Practice address
3604 103Rd Avenue CT NW
Gig Harbor, WA 98335-5812
Phone
(253) 228-3626
NPI assigned
May 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jody Veatch-Janin, PA-CNPI 1518071372
Title
Owner
Phone
(855) 621-8250

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3604 103Rd Avenue CT NW
Gig Harbor, WA 98335-5812

Mailing address

5500 Olympic Dr.
Ste H105, PMB 251
Gig Harbor, WA 98335-5812
Phone (253) 228-3626

Other practice location 1

401 15th Ave SE
Puyallup, WA 98372-3715
Phone (253) 228-3626

Other practice location 2

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Phone (253) 228-3626

Other practice location 3

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 228-3626

Other practice location 4

11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 228-3626

National Provider Directory

National Provider Directory

Locations

5500 Olympic Dr
Ste H105
Gig Harbor, WA 98335

Practitioners & affiliated clinicians

Practitioners 1

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": "1495238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952838906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 OLYMPIC DR.",
            "address_2": "STE H105, PMB 251",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355812",
            "telephone_number": "253-228-3626",
            "fax_number": "253-514-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 103RD AVENUE CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355812",
            "telephone_number": "253-228-3626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 15th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723715",
            "country_code": "US",
            "telephone_number": "253-228-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054234",
            "country_code": "US",
            "telephone_number": "253-228-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11315 Bridgeport Way SW",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984993004",
            "country_code": "US",
            "telephone_number": "253-228-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11567 Canterwood Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983325812",
            "country_code": "US",
            "telephone_number": "253-228-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARBOR FIRST ASSIST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VEATCH-JANIN",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-621-8250",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.