Muggsie Ray Van Tassel, CERTIFIED PEER

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

216 James St
Seattle, WA 98104-5102

Phone

(206) 464-6454

NPI assigned

Aug 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1992470884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 26TH AVE S APT 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444757",
            "telephone_number": "206-601-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 JAMES ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981045102",
            "telephone_number": "206-464-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981042304",
            "country_code": "US",
            "telephone_number": "206-464-6454 x4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN TASSEL",
        "first_name": "MUGGSIE",
        "middle_name": "RAY",
        "credential": "CERTIFIED PEER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zach Joseph Van Rheen, PA-C
• Christian Van Rooyen, MB CHB
• Zachary Lee Van Ry, LMP
• Noelle Lily Van Rysselberghe, MD
• Charlotte Van Schooten, MD
• John Sharif Van Taunay, M.D,
• Jordan H. Van Voast, L.AC.
• Wesley C Van Voorhis
• Karen Van Vuren, RN
• Lindsey A. Van Winkle, ARNP

• Peer Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.