NORTHWEST KETAMINE CLINICS TACOMA, PLLC
NPI 1215528732
Nurse Practitioner in Tacoma, WA

NPI Status: Active since January 27, 2021

Contact Information

1901 S UNION AVE
BUILDING B, SUITE 4001
TACOMA, WA
ZIP 98405
Phone: (206) 309-2299
Fax: (425) 256-3250

Get Directions Reviews

  • Organization
  • Nurse Practitioner

About NORTHWEST KETAMINE CLINICS TACOMA, PLLC

This page provides the complete NPI Profile along with additional information for Northwest Ketamine Clinics Tacoma, Pllc, a provider established in Tacoma, Washington operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1215528732 assigned on January 2021. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Allyn D Wilcock Arnp (Owner)

NPI
1215528732
Provider Name
NORTHWEST KETAMINE CLINICS TACOMA, PLLC
Entity Type
Organization
Location Address
1901 S UNION AVE BUILDING B, SUITE 4001 TACOMA, WA 98405
Location Phone
(206) 309-2299
Location Fax
(425) 256-3250
Mailing Address
35302 SE CENTER ST SNOQUALMIE, WA 98065
Mailing Phone
(206) 330-6722
Mailing Fax
(425) 256-3250
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2021
Last Update Date
01-27-2021
Code Navigator

A nurse practitioner (NP) like Northwest Ketamine Clinics Tacoma, Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALLYN D WILCOCK ARNP

Authorized Official Title
OWNER
Authorized Official Phone
(206) 330-6722

Reviews for NORTHWEST KETAMINE CLINICS TACOMA, PLLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215528732
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251021676
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 0 + 2 + 1 + 6 + 7 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1215528732 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861496374 DANIEL A WHALEN JR. MD
Individual
Anesthesiology1901 S UNION AVE
TACOMA, WA 98405
(253) 459-6611
1699779082 WILLIAM A HUGHES MD
Individual
Anesthesiology1901 S UNION AVE
TACOMA, WA 98405
(253) 403-5001
1285635490 ERIN M LENZA PAC
Individual
Physician Assistant1901 S UNION AVE STE B-2003
TACOMA, WA 98405
(253) 752-7705
1518969427 ROBERT WU MD
Individual
Anesthesiology1901 S UNION AVE
TACOMA, WA 98405
(253) 459-6611
1144210048 ARTHUR B VEGH MD
Individual
Allergy & Immunology1901 S UNION AVE STE B 6010
TACOMA, WA 98405
(253) 383-4721
1043200942PUGET SOUND ALLERGY ASTHMA & IMMUNOLOGY
Organization
Allergy & Immunology (Clinical & Laboratory Immunology)1901 S UNION AVE STE B-6010
TACOMA, WA 98405
(253) 383-4721
1386620698 ANNE EMRY CORSON PHARMD
Individual
Pharmacist1901 S UNION AVE SUITE A240
TACOMA, WA 98405
(253) 459-6629
1578549705 NANCY B MORGAN RPH
Individual
Pharmacist1901 S UNION AVE
TACOMA, WA 98405
(253) 459-6744
1528044716DR. GAIL ANN BUNKER R,PH., PHARM.D.
Individual
Pharmacist1901 S UNION AVE
TACOMA, WA 98405
(253) 459-6745
1871579094 SUSAN FLATEBO RPH
Individual
Pharmacist1901 S UNION AVE
TACOMA, WA 98405
(253) 459-6744
1508842733 LAURA BESTE PHARMD
Individual
Pharmacist1901 S UNION AVE
TACOMA, WA 98405
(253) 459-6744
1982681714 C. SUSAN CROSSLAND RPH, CACP
Individual
Pharmacist (Pharmacotherapy)1901 S UNION AVE SUITE A 201
TACOMA, WA 98405
(253) 459-6736
1164408902MRS. HEIDI LEANNE HERNANDEZ PHARM.D.
Individual
Pharmacist1901 S UNION AVE
TACOMA, WA 98405
(253) 459-6744
1053398891MR. WILLIAM COOLEY PORTER PHARMACIST
Individual
Pharmacist1901 S UNION AVE
TACOMA, WA 98405
(253) 345-9674
1639155443 HANSOL CHRISTIAN PARK PHARM D
Individual
Pharmacist1901 S UNION AVE
TACOMA, WA 98405
(253) 568-6611
1710934773MR. RONALD WOODS
Individual
Hearing Instrument Specialist1901 S UNION AVE
TACOMA, WA 98405
(253) 627-1415
1174568323DR. ROBERT TAYLOR GORE JR. M.D.
Individual
Obstetrics & Gynecology1901 S UNION AVE B 2006
TACOMA, WA 98405
(253) 255-5038
1164453015DR. HERBERT K LO DPM
Individual
Podiatrist1901 S UNION AVE B 4001
TACOMA, WA 98405
(253) 572-4848
1659304251 ALDEN A WILLARD ARNP
Individual
Nurse Practitioner1901 S UNION AVE
TACOMA, WA 98405
(253) 459-6510
1821014093MS. BARBARA CORNMAN ARNP
Individual
Nurse Practitioner1901 S UNION AVE
TACOMA, WA 98405
(253) 459-6700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215528732, enumerated in the NPI registry as an "organization" on January 27, 2021

The provider is located at 1901 S Union Ave Building B, Suite 4001 Tacoma, Wa 98405 and the phone number is (206) 309-2299

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

This NPI record was last updated on January 27, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.