TULALIP TRIBES OF WASHINGTON (NPI# 1831325687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831325687 |
| Entity Type | Organization |
| Organization Name | TULALIP TRIBES OF WASHINGTON |
| Other Organization Name | TULALIP CHILD, YOUTH, AND FAMILY MENTAL WELLNESS |
| Practice Address |
4033 76th Place Nw Tulalip WA 98271 |
| Mailing Address |
6406 Marine Dr Ste A Tulalip WA 98271 |
| Practice Telephone | 3607164224 |
| Practice Fax Number | 3607165789 |
| Mailing Telephone | 3607164400 |
| Mailing Fax Number | 3607165789 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | NORMA RAZOTE (MANAGING DIRECTOR OF HEALTH SERVICE) |
| Authorized Official Telephone | 3607164142 |
| Is Organization Subpart | Y |
| Parent Organization Name | TULALIP FAMILY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2008642 | 05 |
| Other Name | Type Code |
|---|---|
| Tulalip Child, Youth, and Family Mental Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770531501 | Tulalip Tribes of Washington | Psychiatry & Neurology | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2006-05-04 |
| 1447530399 | Tulalip Tribes of Washington | Dentist | 7520 Totem Beach Rd, Tulalip, WA 98271 | 2011-08-24 |
| 1013138924 | Tulalip Tribes of Washington | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271 | 2007-05-01 |
| 1063502946 | Tulalip Tribes of Washington | Counselor | 2821 Mission Hill Rd, Tulalip, WA 98271 | 2006-10-13 |
| Street Address |
4033 76TH PLACE NW |
| City | TULALIP |
| State | WA |
| Zip Code | 98271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558410910 | Tulalip Tribes Health Clinic | Preventive Medicine | 7520 Totem Beach Rd, Tulalip, WA 98271-6160 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851840508 | Kimquy Kieu | Preventive Medicine | 711 24th Ave S, Seattle, WA 98144-3003 | 2016-09-22 |
| 1659799443 | James Kublin | Preventive Medicine | 1100 Fairview Ave N # E3-300, Seattle, WA 98109-4433 | 2014-03-31 |
| 1679918031 | Richard L. Rysdam | Preventive Medicine | 4742 42nd Ave Sw # 292, Seattle, WA 98116-4553 | 2013-04-29 |
| 1275886533 | Ashley Hedeen | Preventive Medicine | 1400 N 143rd St, Seattle, WA 98133-7102 | 2012-10-23 |
| 1821354069 | Aristotle Sun | Preventive Medicine | 3915 Talbot Rd S Ste 104, Renton, WA 98055-5738 | 2012-04-02 |
| 1760756563 | Reimert Thorolf Ravenholt | Preventive Medicine | 3156 E Laurelhurst Dr Ne, Seattle, WA 98105-5333 | 2012-02-27 |
| 1124316641 | Steven Dale Helgerson | Preventive Medicine | 601 Belmont Ave E, Suite F11, Seattle, WA 98102-4875 | 2011-07-18 |
| 1194054247 | Lewis B Rock IIi | Preventive Medicine | 2375 30th Ave Ne, Issaquah, WA 98029-3618 | 2009-12-21 |
| 1609047810 | Paul Howard Stepak | Preventive Medicine | 15300 Bothell Way Ne, Lake Forest Park, WA 98155-7634 | 2008-03-14 |
| 1326253501 | Kristin Elise Erickson | Preventive Medicine | 9040 Jackson Ave Medical Evaluation Board, Tacoma, WA 98431-0001 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.