Search › Washington › 101YA0400X
Heather Ivy, SUDP III
NPI 1225738859 · on the registry since 2023
Practice
- Address
- 1415 Center St
Tacoma, WA 98409 - Phone
- (253) 280-9860
- Fax
- (253) 280-9870
- Organisation at this address
- Sea Mar Community Health Centers
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 390200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington