Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124214267 Individual Practitioner Female Practitioner

Stacey Jonelle Van Tassel , LMP

Specialist • Black Diamond, WA

Professional Overview & Biography Verified Profile Summary

Stacey Van Tassel, LMP is a registered healthcare professional specializing in Specialist in Black Diamond, WA. Practice services are available at 29034 216TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

29034 216th Ave Se

Black Diamond, WA 980101297

Telephone 3608862649

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Black Diamond, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Black Diamond, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA00020492

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Julie Murray , LMT

Massage Therapist

NPI 1619159548

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 21, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2007

Registered at 29034 216TH AVE SE, BLACK DIAMOND, WA 980101297 (Tel: 3608862649)

📍
Updated Business Mailing Address September 21, 2007

Registered at 26615 199TH PL SE, COVINGTON, WA 980425087 (Tel: 2536705910)

👤
Provider Name / Credentials Updated September 21, 2007

Recorded as STACEY VAN TASSEL, L.M.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2007

Specialist (License #MA00020492 in WA)

🟢
Initial NPI Registration & Enumeration September 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124214267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2007
Last Update: September 21, 2007
Sole Proprietor: Yes

Mailing Address

26615 199th Pl Se

Covington, WA 980425087

Phone: 2536705910

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.