TRILLIUM NATURAL MEDICINE, LLC (NPI# 1265824437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265824437 |
| Entity Type | Organization |
| Organization Name | TRILLIUM NATURAL MEDICINE, LLC |
| Practice Address |
159 Wyatt Way Ne Bainbridge Island WA 98110-1878 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 2063048756 |
| Mailing Telephone | 3109434180 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |
| Authorized Official Name | ALEXANDER C. KRAFT (OWNER) |
| Authorized Official Telephone | 2063048756 |
| Authorized Official Credential | ND |
| Is Organization Subpart | Y |
| Parent Organization Name | TRILLIUM NATURAL MEDICINE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | NT 00001299 | WA | Suppliers |
| Street Address |
159 WYATT WAY NE |
| City | BAINBRIDGE ISLAND |
| State | WA |
| Zip Code | 98110-1878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982789871 | Alexander C Kraft | Acupuncturist | 159 Wyatt Way Ne, Bainbridge Island, WA 98110-1878 | 2006-10-26 |
| 1033548805 | Decide Differently, LLC | Social Worker | 159 Wyatt Way Ne, Bainbridge Island, WA 98110-1878 | 2013-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667021 | William Reddy | Counselor | 8380 Ne Beck Road, Bainbridge Island, WA 98110 | 2020-07-29 |
| 1144875352 | Kaitlyn Barr | Physical Therapist | Kitsap Physical Therapy, 945 Hildebrand Ln Ste 220, Bainbridge Island, WA 98110 | 2019-08-05 |
| 1326601055 | Chloe Samantha Simon | Specialist/Technologist | 9650 Green Spot Pl., Req, Bainbridge Island, WA 98110 | 2019-04-18 |
| 1043721228 | Laura West Baker | Counselor | 11073 Madison Ave. N.e., Bainbridge Island, WA 98110 | 2017-10-16 |
| 1609305978 | Autism Coaching, Consulting, and Training, LLC | Early Intervention Provider Agency | 676 Lovell Ave Nw, Bainbridge Island, WA 98110 | 2017-06-08 |
| 1639423692 | Alice Hunting | Massage Therapist | 11700 Ne Meadowmeer Circle, Bainbridge Island, WA 98110 | 2012-10-30 |
| 1578813929 | Kitsap County Fire District No 2 | Ambulance | 8895 Madison Ave Ne, Bainbridge Island, WA 98110 | 2012-09-13 |
| 1841582707 | David Warren Sugarman | Psychologist | 4080 Crystal Springs Dr Ne, Bainbridge Island, WA 98110 | 2011-05-11 |
| 1346570371 | Trina Ann Peterson | Registered Nurse | 2213 N.e. Victorian Lane, C, Bainbridge Island, WA 98110 | 2010-01-14 |
| 1902135437 | Sally Karen Vest | Occupational Therapy Assistant | 10861 Manitou Park Blvd. Ne, Bainbridge Island, WA 98110 | 2009-12-11 |
| Find all providers in zip 98110 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | BAINBRIDGE ISLAND |
| Zip Code | 98110 |
Please comment or provide details below to improve the information on TRILLIUM NATURAL MEDICINE, LLC.
| 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.