Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness
NPI 1174171458 · Certified Registered Nurse Anesthetist · Bellevue, WA
Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness is a Certified Registered Nurse Anesthetist organization in Bellevue, WA (NPI 1174171458).
Provider details
- NPI number
- 1174171458
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Allyn Wilcock, Owner(206) 330-6722
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Northwest Healing and Wellness
- Doing business as
- Northwest Healing and Wellness
Additional practice locations (2)
- 600 Broadway Ste 130Seattle, WA 98122-5381Phone: (206) 309-2299Fax: (425) 256-3250
- 1901 S Union Ave Ste B4001Tacoma, WA 98405-1804Phone: (206) 309-2299Fax: (425) 256-3250
Registry dates
- Enumerated
- 2019-08-29
- Last updated
- 2025-05-29
- Certified
- 2025-05-20
Frequently asked questions
- What is Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness's NPI number?
- Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness's National Provider Identifier (NPI) is 1174171458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness?
- Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness located?
- Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness's practice location on file with NPPES is 1750 112th Ave Ne Ste C228, Bellevue, WA 98004-3773.
- What is Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness's phone number?
- The practice phone number listed in the NPPES registry for Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness is (206) 309-2299.
- Who is the authorized official for Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness?
- The authorized official listed on Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness's NPPES record is Allyn Wilcock, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness's NPI active?
- Yes — Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness's NPI (1174171458) is active in the NPPES registry as of the last update on 2025-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.