Healthcare Provider Details

I. General information

NPI: 1144194986
Provider Name (Legal Business Name): BUG LACTATION & POSTPARTUM CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 01/17/2026
Certification Date: 01/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 SW CAMPUS DR # 23012
FEDERAL WAY WA
98023-9998
US

IV. Provider business mailing address

1815 SW CAMPUS DR # 23012
FEDERAL WAY WA
98023-9998
US

V. Phone/Fax

Practice location:
  • Phone: 253-235-9028
  • Fax:
Mailing address:
  • Phone: 253-235-9028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number StateNULL

VIII. Authorized Official

Name: TYNECE BUGGS-TOMPSON
Title or Position: NURSE PRACTITIONER & LACTATION CONS
Credential: ARNP, CBS
Phone: 253-642-7034