VITAL FAMILY MEDICINE, PLLC (NPI# 1083965792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083965792 |
| Entity Type | Organization |
| Organization Name | VITAL FAMILY MEDICINE, PLLC |
| Practice Address |
3513 Ne 45th St Ste 2 Seattle WA 98105-5665 |
| Practice Telephone | 2065188938 |
| Practice Fax Number | 2065253273 |
| Mailing Telephone | 2065188938 |
| Mailing Fax Number | 2065253273 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |
| Authorized Official Name | MARGIE IKEDA (OWNER) |
| Authorized Official Telephone | 2065188939 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
603118032 | WA | Ambulatory Health Care Facilities |
| Street Address |
3513 NE 45TH ST STE 2 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-5665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942447 | Robert Payton Robertson | Naturopath | 3513 Ne 45th St Ste 2, Seattle, WA 98105-5665 | 2020-08-12 |
| 1891276473 | Alisha Yarbrough Ghajar | Naturopath | 3513 Ne 45th St Ste 2, Seattle, WA 98105-5665 | 2018-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1679991087 | Seattle Infectious Disease Clinic Pllc | Clinic/Center | 1420a 25th Ave, Seattle, WA 98122-3016 | 2014-04-02 |
| 1144525767 | 5focus LLC | Clinic/Center | 1009 8th Ave N, Seattle, WA 98109-3504 | 2011-01-12 |
| 1710100268 | Ayu Natural Medicine Clinic | Clinic/Center | 819 Ne 65th St, Seattle, WA 98115-5539 | 2007-04-11 |
| 1396810701 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 320 Westlake Ave. N., Suite 100, Seattle, WA 98109-5233 | 2006-11-21 |
| 1699253112 | Advanced Integrative Medicine of Seattle Institute, Pllc | Clinic/Center | 2825 Eastlake Ave E Ste 115, Seattle, WA 98102-3084 | 2018-08-06 |
| 1982120390 | Integrated Rehabilitation Group, PC | Clinic/Center | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2017-08-17 |
| 1174057350 | Gumshoe Health | Clinic/Center | 509 Olive Way, Ste 755, Seattle, WA 98101-1720 | 2017-04-14 |
| Find all providers in SEATTLE | ||||
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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.