Glacier Lake Wellness PLLC
NPI 1699310284 · Psychiatric/Mental Health Nurse Practitioner · Bellevue, WA
Glacier Lake Wellness PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Bellevue, WA (NPI 1699310284).
Provider details
- NPI number
- 1699310284
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Thomas Moore, President(541) 345-1722
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
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
- 2019-11-07
- Last updated
- 2022-07-19
- Certified
- 2022-07-19
Frequently asked questions
- What is Glacier Lake Wellness PLLC's NPI number?
- Glacier Lake Wellness PLLC's National Provider Identifier (NPI) is 1699310284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glacier Lake Wellness PLLC?
- Glacier Lake Wellness PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Glacier Lake Wellness PLLC located?
- Glacier Lake Wellness PLLC's practice location on file with NPPES is 1400 112th Ave Se Ste 100, Bellevue, WA 98004-6901.
- What is Glacier Lake Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Glacier Lake Wellness PLLC is (541) 623-0738.
- Who is the authorized official for Glacier Lake Wellness PLLC?
- The authorized official listed on Glacier Lake Wellness PLLC's NPPES record is Thomas Moore, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glacier Lake Wellness PLLC's NPI active?
- Yes — Glacier Lake Wellness PLLC's NPI (1699310284) is active in the NPPES registry as of the last update on 2022-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.