LILY JEI-HO CHANG (NPI# 1043664436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043664436 |
| Entity Type | Organization |
| Organization Name | LILY JEI-HO CHANG |
| Other Organization Name | E-TAO INTEGRATIVE MEDICINE |
| Practice Address |
12710 102nd Ave Ne Kirkland WA 98034-2847 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
| Practice Telephone | 4252867018 |
| Practice Fax Number | 8884318819 |
| Mailing Telephone | 3109434180 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | LILY JEI-HO CHANG (OWNER) |
| Authorized Official Telephone | 4252867018 |
| Authorized Official Credential | N.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | LILY JEI-HO CHANG |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | NT60454183 | WA | Suppliers |
| Other Name | Type Code |
|---|---|
| E-Tao Integrative Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144684051 | Lily Jei-ho Chang | Non-Pharmacy Dispensing Site | 2611 Ne 125th St, Suite 115, Seattle, WA 98125-4373 | 2016-04-06 |
| Street Address |
12710 102ND AVE NE |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023488251 | Neurevolution Medicine, LLC | Non-Pharmacy Dispensing Site | 11644 Ne 80th St, Kirkland, WA 98033-8111 | 2015-09-30 |
| 1467842161 | Centered In Wellness, LLC | Non-Pharmacy Dispensing Site | 12815 120th Ave Ne, Suite A, Kirkland, WA 98034-3003 | 2015-02-02 |
| 1477953222 | Comprehensive Natural Medicine, Pllc | Non-Pharmacy Dispensing Site | 11821 Ne 128th St, Suite H, Kirkland, WA 98034-7210 | 2014-08-29 |
| 1538437389 | Amanda Monwai | Non-Pharmacy Dispensing Site | 12911 120th Ave Ne, A40, Kirkland, WA 98034-3027 | 2011-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890268 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 10541 Ne 4th St, Bellevue, WA 98004-5023 | 2020-08-10 |
| 1770193294 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4555 Stone Way N, Seattle, WA 98103-6647 | 2020-08-10 |
| 1386254811 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 123 Broadway E Ste A, Seattle, WA 98102-5711 | 2020-08-10 |
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1659981272 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 15911 Westminister Way N., Shoreline, WA 98113 | 2020-08-07 |
| 1841800752 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 517 Union St, Seattle, WA 98101-2308 | 2020-08-05 |
| 1437769320 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 10425 Ne 8th St, Bellevue, WA 98004-4346 | 2020-08-05 |
| 1184234072 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2038 Nw Market St, Seattle, WA 98107-4012 | 2020-08-05 |
| 1619587482 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4012 Sw Alaska St, Seattle, WA 98116-4529 | 2020-08-05 |
| 1083224919 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 1909 Queen Anne Ave N, Seattle, WA 98109-2549 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.