EDMONDS WELLNESS CLINIC, INC (NPI# 1538436027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538436027 |
| Entity Type | Organization |
| Organization Name | EDMONDS WELLNESS CLINIC, INC |
| Practice Address |
7935 216th St Sw Suite E Edmonds WA 98026-7941 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
| Practice Telephone | 4256722113 |
| Mailing Telephone | 3104749809 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. MARK NOLTING (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4256722113 |
| Authorized Official Credential | ND |
| Is Organization Subpart | Y |
| Parent Organization Name | EDMONDS WELLNESS CLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
7935 216TH ST SW SUITE E |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023007 | Mark Harrison Nolting | Acupuncturist | 7935 216th St Sw, Ste E, Edmonds, WA 98026-7941 | 2005-06-16 |
| 1427489392 | Edmonds Wellness Clinic | Acupuncturist | 7935 216th St Sw, Ste E, Edmonds, WA 98026-7941 | 2013-12-03 |
| 1083901524 | Tisha C Rekhi | Dentist | 7935 216th St Sw, Suite D, Edmonds, WA 98026-7941 | 2011-07-05 |
| 1588999437 | Brisa Florence Mcdowell | Specialist | 7935 216th St Sw, Edmonds, WA 98026-7941 | 2009-10-10 |
| 1316145451 | Radu V Wolf | Dentist | 7935 216th St Sw, Suite A, Edmonds, WA 98026-7941 | 2007-07-10 |
| 1336354596 | Wolf,d.d.s., P.s. | Dentist | 7935 216th St Sw, Suite B, Edmonds, WA 98026-7941 | 2007-05-11 |
| 1902920150 | Won Ho Park | Acupuncturist | 7935 216th St Sw, Suite E, Edmonds, WA 98026 | 2007-03-16 |
| 1568537843 | Lloyd Frank Koch | Chiropractor | 7935 216th St Sw, Suite E, Edmonds, WA 98026-7941 | 2006-11-21 |
| 1528152683 | Radu V. Wolf D.d.s.,ps | Dentist | 7935 216th St Sw, Ste.a, Edmonds, WA 98026-7941 | 2006-10-03 |
| 1821022559 | Kenneth H Krichman | Internal Medicine | 7935 216th St Sw, # E, Edmonds, WA 98026-7941 | 2006-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| 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 |
|---|---|---|---|---|
| 1174133086 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 22019 Highway 99 Ste 120, Edmonds, WA 98026-8023 | 2020-08-05 |
| 1235509126 | Serene Natural Health, LLC | Non-Pharmacy Dispensing Site | 7500 212th St Sw Ste 211, Edmonds, WA 98026-7617 | 2015-10-05 |
| 1386085603 | Sage Naturopathic Medicine Clinic, Pllc | Non-Pharmacy Dispensing Site | 21827 76th Ave W, Suite 202, Edmonds, WA 98026-7981 | 2013-07-15 |
| 1568712875 | Richard Ke'aumoana Chung, Ms Nd Naturopathic Family Physician, Ltd | Non-Pharmacy Dispensing Site | 23700 Edmonds Way, Edmonds, WA 98026-8978 | 2012-09-13 |
| 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 |
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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.