LAKES FAMILY MEDICINE, PS (NPI# 1386754661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386754661 |
Entity Type | Organization |
Organization Name | LAKES FAMILY MEDICINE, PS |
Practice Address |
10116 116th St E Suite 101 Puyallup WA 98373-3543 |
Practice Telephone | 2538640224 |
Practice Fax Number | 2538640634 |
Mailing Telephone | 2538640224 |
Mailing Fax Number | 2538640634 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. LINH T HUYNH (OWNER) |
Authorized Official Telephone | 2538640224 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | MD0037764 | WA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8250888 | 05 | |
WA | 8251944 | 05 |
Street Address |
10116 116TH ST E SUITE 101 |
City | PUYALLUP |
State | WA |
Zip Code | 98373-3543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508881228 | Linh Trang Huynh | Family Medicine | 10116 116th St E, Suite 101, Puyallup, WA 98373-3543 | 2006-07-13 |
1326229485 | Dpmleonheartprwa LLC | Podiatrist | 10116 116th St E, Suite 103, Puyallup, WA 98373-3543 | 2007-11-16 |
1871786483 | Franciscan Medical Group | Family Medicine | 10116 116th St E, Ste 101, Puyallup, WA 98373-3543 | 2007-08-27 |
1932240546 | Jane E Jacobs | Counselor | 10116 116th St E, Suite 202, Puyallup, WA 98373-3543 | 2007-02-08 |
1699829168 | Richard D Lake | Counselor | 10116 116th St E, Suite 202, Puyallup, WA 98373-3543 | 2007-01-22 |
1902957376 | Linda J Williams | Social Worker | 10116 116th St E, Suite 202, Puyallup, WA 98373-3543 | 2007-01-14 |
1669556023 | Robert Jhan Simmons | Counselor | 10116 116th St E, Suite 204-b, Puyallup, WA 98373-3543 | 2006-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194381905 | Washington Center for Pain Management LLC | Clinic/Center | 120 14th Ave Se Ste B, Puyallup, WA 98372-3718 | 2019-05-16 |
1760757850 | Kosnoski Eye Care Inc | Clinic/Center | 12511 Meridian E, Puyallup, WA 98373-3425 | 2012-03-21 |
1265620751 | Nicole M. Lauer Chiropractic P.a. | Clinic/Center | 2600 S Meridian, Apt 1412, Puyallup, WA 98373-1556 | 2007-10-09 |
1821097429 | Puyallup Radiological Assocs, Inc. | Clinic/Center | 800 S Meridian, Suite B, Puyallup, WA 98371-6995 | 2005-07-18 |
1528445160 | Rediclinic of Wa, LLC | Clinic/Center | 9502 176th St E, Puyallup, WA 98375-9300 | 2015-05-04 |
1598176893 | Merwin Chiropractic Inc | Clinic/Center | 15311 Canyon Rd E, Puyallup, WA 98375-7473 | 2014-05-08 |
1982924767 | John L. Diller, Md | Clinic/Center | 610 S Meridian, Puyallup, WA 98371-5908 | 2010-06-03 |
1497874903 | Puyallup Clinic Inc | Clinic/Center | 800 S Meridian Ste A, Puyallup, WA 98371-6994 | 2007-03-28 |
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1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
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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.