Northwest Ketamine Clinics Tacoma, PLLC
NPI 1215528732 · Nurse Practitioner · Tacoma, WA
Northwest Ketamine Clinics Tacoma, PLLC is a Nurse Practitioner organization in Tacoma, WA (NPI 1215528732).
Provider details
- NPI number
- 1215528732
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician 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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2021-01-27
- Last updated
- 2021-01-27
- Certified
- 2021-01-27
Frequently asked questions
- What is Northwest Ketamine Clinics Tacoma, PLLC's NPI number?
- Northwest Ketamine Clinics Tacoma, PLLC's National Provider Identifier (NPI) is 1215528732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Ketamine Clinics Tacoma, PLLC?
- Northwest Ketamine Clinics Tacoma, PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Northwest Ketamine Clinics Tacoma, PLLC located?
- Northwest Ketamine Clinics Tacoma, PLLC's practice location on file with NPPES is 1901 S Union Ave, Tacoma, WA 98405.
- What is Northwest Ketamine Clinics Tacoma, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northwest Ketamine Clinics Tacoma, PLLC is (206) 309-2299.
- Who is the authorized official for Northwest Ketamine Clinics Tacoma, PLLC?
- The authorized official listed on Northwest Ketamine Clinics Tacoma, PLLC'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 Tacoma, PLLC's NPI active?
- Yes — Northwest Ketamine Clinics Tacoma, PLLC's NPI (1215528732) is active in the NPPES registry as of the last update on 2021-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.