EVERWELL PRIMARY CARE PLLC – NPI #1316890379
Clinic/Center

EVERWELL PRIMARY CARE PLLC is an AHC clinic located in PUYALLUP, WA. NPPES has assigned the NPI number 1316890379 to EVERWELL PRIMARY CARE PLLC on February 19, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERWELL PRIMARY CARE PLLC below.

NPI Profile for
EVERWELL PRIMARY CARE PLLC

NPI Number
1316890379
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERWELL PRIMARY CARE PLLC
Primary location
19108 106TH AVENUE CT E
PUYALLUP, WA 98374-6491
Phone: (206) 822-2210 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TACKESHA THOMAS
OWNER
Phone: (206) 822-2210
Updated
Certification Date
Feb 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.