Ketamine Wellness Centers Washington
NPI 1457918831ActiveOrganization· Anesthesiology· Federal Way, WA
Anesthesiology in Federal Way, Washington, registered in NPPES in May 2019, part of Ketamine Wellness Centers Arizona LLC. The authorized official on file is Anita D. Jerger, Executive Assistant.
Overview
| NPI | 1457918831 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ketamine Wellness Centers Arizona LLC |
| NPI issued | May 21, 2019 |
| Last updated in NPPES | Dec 21, 2020 |
| Certified by provider | Dec 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
| Registered Nurse | 163W00000X | — | — |
| Pain Medicine, Pain Medicine | 208VP0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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