REVIVE LOW T, LLC (NPI# 1558700856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558700856 |
| Entity Type | Organization |
| Organization Name | REVIVE LOW T, LLC |
| Practice Address |
4500 9th Ave Ne # 80 Seattle WA 98105-4737 |
| Practice Telephone | 2069604770 |
| Practice Fax Number | 8669981837 |
| Mailing Telephone | 2069604770 |
| Mailing Fax Number | 8669981837 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | MS. ELISA AARVIK (MANAGER) |
| Authorized Official Telephone | 2069604770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225550551 | Revive Low T, LLC | Naturopath | 720 S 320th St Ste A, Federal Way, WA 98003-5254 | 2017-07-07 |
| 1922425248 | Revive Low T, LLC | Naturopath | 11903 Ne 128th St, Suite A, Kirkland, WA 98034-7209 | 2014-03-25 |
| 1811339963 | Revive Low T, LLC | Naturopath | 11911 Ne 132nd St Ste 103, Kirkland, WA 98034-2900 | 2013-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | REVIVE LOW T, LLC | 11911 Ne 132nd St Ste 103, Kirkland, WA 98034 |
| Street Address |
4500 9TH AVE NE # 80 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-4737 |
| 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 | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211569 | Katie Ferree | Naturopath | 7732 1st Ave Ne, Seattle, WA 98115-4004 | 2020-10-07 |
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1285245621 | Colleen Crowley Ambrose | Naturopath | 1751 Nw 61st St, Seattle, WA 98107-2359 | 2020-08-10 |
| 1598375081 | Alison Hearst | Naturopath | 13226 39th Ave Ne, Seattle, WA 98125-4616 | 2020-08-09 |
| 1043828361 | Tiffany J Bloomingdale | Naturopath | 6025 California Ave Sw Apt C, Seattle, WA 98136-2736 | 2020-07-22 |
| 1770191355 | Sabin J Gilman | Naturopath | 8844 24th Ave Sw, Seattle, WA 98106-2213 | 2020-07-20 |
| 1053936716 | Megan Roark | Naturopath | 931 N 98th St Apt A, Seattle, WA 98103-3427 | 2020-06-09 |
| 1417571274 | Anjli Ajit Shah | Naturopath | 6712 25th Ave Nw, Seattle, WA 98117-5824 | 2020-06-07 |
| 1487278388 | Mary Coker Schroeder | Naturopath | 716 N 46th St, Seattle, WA 98103-6505 | 2020-06-05 |
| 1174142970 | Shelia Helms Manning | Naturopath | 11711 Greenwood Ave N Apt C, Seattle, WA 98133-8186 | 2020-04-11 |
| 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.