Eatonville Integrative Medicine P.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EATONVILLE INTEGRATIVE MEDICINE P.S.

Practice address

320 Center Street East
Eatonville, WA 98328-7449

Phone

(360) 832-2222

Fax

(360) 859-9592

NPI assigned

Jul 21, 2022

Organization subpart

No

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

Authorized official

Name

Melissa Bronoske, PA-CNPI 1477982700

Title

President

Phone

(253) 677-4894

Specialties & licenses 2

Addresses

Other names 1

• Eatonville Integrative Medicine Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Melissa Bronoske, PA-C

  • Physician Assistant
  • Eatonville, WA
  • NPI 1477982700
  Medicare reassignment Care Compare group Authorized official
• Sarah Marie Rashoff, AP61501358

  • Nurse Practitioner
  • Eatonville, WA
  • NPI 1710753678
  Medicare reassignment Care Compare group NPD
• Katy Palmer, ARNP

  • Nurse Practitioner
  • Eatonville, WA
  • NPI 1083151880
  Medicare reassignment NPD
• Scott Patrick Grogan, DO, MBA, RMSK, FAAFP

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1588706568
  NPD (past)
• Ginger Hany, PA-C

  • Physician Assistant
  • Eatonville, WA
  • NPI 1265169395
  NPD (past)
• Megan Lister

  • Family Nurse Practitioner
  • Lacey, WA
  • NPI 1346014479
  NPD (past)

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1962137125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1924",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983281924",
            "telephone_number": "360-832-2222",
            "fax_number": "360-859-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTER STREET EAST",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983287449",
            "telephone_number": "360-832-2222",
            "fax_number": "360-859-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATONVILLE INTEGRATIVE MEDICINE P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "BRONOSKE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-677-4894",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@eatonville.org",
            "affiliation": "N",
            "address_1": "320 Center Street East",
            "city": "Eatonville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983287449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eatonville Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eatonville Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Marie Butler, CRNA
• Dale Eugene Clark, DC
• Rachel Elizabeth Como
• Cross Chiropractic PS
• Diane Marie Crum, DNP
• Eatonville School District
• Elk Hills Massage & Bodywork
• Sandra J Forsythe
• Hayley Gardner
• Debra Frazier Grant, ARNP

• Family Medicine Physician in Eatonville, WA
• Providers in Eatonville, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.