INTEGRUM HEALTHCARE LLC (NPI# 1619268802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619268802 |
| Entity Type | Organization |
| Organization Name | INTEGRUM HEALTHCARE LLC |
| Practice Address |
15811 Ambaum Blvd Sw Suite 110 Burien WA 98166-3066 |
| Practice Telephone | 2062428211 |
| Practice Fax Number | 2062420162 |
| Mailing Telephone | 2062428211 |
| Mailing Fax Number | 2062420162 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |
| Authorized Official Name | DR. CHRISTOPHER J WALTERS (CHIROPRACTOR) |
| Authorized Official Telephone | 2062428211 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CH00034837 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0274108 | 01 |
| Street Address |
15811 AMBAUM BLVD SW SUITE 110 |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982652400 | Highline Medical Group Inc | Internal Medicine | 15811 Ambaum Blvd Sw, Suite A, Burien, WA 98166-3013 | 2006-05-05 |
| 1174096150 | Claire Louise Schaffer | Marriage & Family Therapist | 15811 Ambaum Blvd Sw, Ste 110, Burien, WA 98166 | 2019-01-02 |
| 1568905651 | Joseph Koenig | Physical Therapist | 15811 Ambaum Blvd Sw, Suite 140, Burien, WA 98166-3066 | 2016-11-22 |
| 1942617386 | Nicholas Pennacchi | Massage Therapist | 15811 Ambaum Blvd Sw, Ste 110, Burien, WA 98166-3066 | 2014-07-17 |
| 1962816280 | Dana Kahn | Counselor | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166-3066 | 2014-06-14 |
| 1588080626 | Counseling Services for Wellbeing, Inc. | Marriage & Family Therapist | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166 | 2014-03-13 |
| 1558702316 | Bryce Alikzandr Shoemaker | Counselor | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166-3066 | 2013-07-09 |
| 1295098812 | Lindsay Beth Ann Krull | Specialist | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166-3066 | 2012-06-19 |
| 1164733184 | Tovi Avnon | Psychiatry & Neurology | 15811 Ambaum Blvd Sw, Ste 110, Burien, WA 98166-3066 | 2010-06-24 |
| 1023337813 | Kandi Lamay Elray Jarrell | Massage Therapist | 15811 Ambaum Blvd Sw, Suite 110, Burien, WA 98166-3066 | 2010-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942765219 | Ideal Option, Pllc | Clinic/Center | 507 South Washington Street, Suite 101, Burien, WA 99201-9930 | 2019-01-31 |
| 1255838033 | Three Trees Pediatric Occupational Therapy | Clinic/Center | 14630 8th Ave Sw, Burien, WA 98166-1953 | 2018-04-09 |
| 1649723974 | Robert E Weiss Dds | Clinic/Center | 227 Sw 153rd St, Burien, WA 98166-2313 | 2016-08-03 |
| 1497901490 | One Purpose Chiropractic, Pllc | Clinic/Center | 13505 Ambaum Blvd Sw, Suite #103, Burien, WA 98146-4119 | 2008-08-11 |
| 1568926012 | Ideal Option, Pllc | Clinic/Center | 14031 Ambaum Blvd Sw, Burien, WA 98166-1255 | 2019-01-29 |
| 1134678253 | Burien Medical Clinic | Clinic/Center | 12459 Ambaum Blvd Sw, Burien, WA 98146-2660 | 2016-09-30 |
| 1902132160 | New Leaf Nutrition, Pllc | Clinic/Center | 636 Sw 152nd St, Suite D, Burien, WA 98166-2264 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
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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.