N/A – NPI #1699364455
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

N/A is a provider located in FEDERAL WAY, WA. NPPES has assigned the NPI number 1699364455 to N/A on January 15, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “N/A” is a dba name, the actual legal business name for this organization is PRUDENT MEDICAL PROVIDERS NW. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Jul 13, 2023. 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 N/A below.

NPI Profile for
PRUDENT MEDICAL PROVIDERS NW

NPI Number
1699364455
Enumeration Date

(more than 5 years 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
PRUDENT MEDICAL PROVIDERS NW
Doing Business As (dba): N/A
Primary location
1045 S 320TH ST STE 7
FEDERAL WAY, WA 98003-5179
Phone: (206) 212-6554 Fax:
2 Other location(s):
4306 40th Ave NE
Tacoma, WA 98422-2488
Phone: (206) 245-4902
4523 42nd St NE
Tacoma, WA 98422-2424
Phone: (206) 245-4902
Mailing address
4523 42ND ST NE
TACOMA, WA 98422-2424
Phone: (206) 245-4902 Fax:
Organization Subpart
No
Authorized Official
KRISTYN DICE
CONTRACTING MANAGER
Phone: (208) 717-3944
Updated
Certification Date
Jul 29, 2021

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
207Q00000X
- Family Medicine (Primary)
363LF0000X
- Nurse Practitioner / Family
363A00000X
- Physician Assistant

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.