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Active NPI 1508304585 Individual Practitioner Female Practitioner

Bethany Stull , LMP

Specialist • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Bethany Stull, LMP is a registered healthcare professional specializing in Specialist in Tacoma, WA. Practice services are available at 1310 S UNION AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1310 S Union Ave
Ste A-202

Tacoma, WA 984051907

Telephone 2535074631
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
128 Specialists

Practicing in Tacoma, WA (2751 Statewide)

Telehealth Adoption Rate
1.6% 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 MA 60622268

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Lmp
47-1101118 (WA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Laura Rauhut

Specialist

NPI 1053844886
Christopher Pengel

Massage Therapist

NPI 1174033153
NPI 1194574632

Licensed Massage Therapist

NPI 1326408410

Licensed Massage Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2017

Registered at 1310 S UNION AVE, STE A-202, TACOMA, WA 984051907 (Tel: 2535074631)

📍
Updated Business Mailing Address February 09, 2017

Registered at 3320 SW 320TH ST APT 25, FEDERAL WAY, WA 980232260 (Tel: 2537976336)

👤
Provider Name / Credentials Updated February 09, 2017

Recorded as BETHANY STULL, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2017

Specialist (License #MA 60622268 in WA)

🟢
Initial NPI Registration & Enumeration February 09, 2017

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: 1508304585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2017
Last Update: February 09, 2017
Sole Proprietor: No

Mailing Address

3320 Sw 320th St Apt 25

Federal Way, WA 980232260

Phone: 2537976336

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.