VITAL FAMILY MEDICINE (NPI# 1619364718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619364718 |
| Entity Type | Organization |
| Organization Name | VITAL FAMILY MEDICINE |
| Other Organization Name | NATURAL MEDICINE OF SEATTLE |
| Practice Address |
3513 Ne 45th St Suite 2 West Seattle WA 98105-5660 |
| Practice Telephone | 2065357527 |
| Practice Fax Number | 8887104862 |
| Mailing Telephone | 2065357527 |
| Mailing Fax Number | 8887104862 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | DR. MARGIE S IKEDA (OWNER) |
| Authorized Official Telephone | 2065357527 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NT60554923 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Natural Medicine of Seattle | Doing Business As Name - Organization |
| Street Address |
3513 NE 45TH ST SUITE 2 WEST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356498182 | John W Gibson | Social Worker | 3513 Ne 45th St, Suite 2w, Seattle, WA 98105-5660 | 2007-01-04 |
| 1396295408 | Grace Jamie Chang | Acupuncturist | 3513 Ne 45th St, 2 West, Seattle, WA 98105-5660 | 2016-10-12 |
| 1477940575 | Kara Kaye Noyes Menzer | Naturopath | 3513 Ne 45th St, Suite 2w, Seattle, WA 98105-5660 | 2015-04-16 |
| 1386063659 | Ian Mclogan | Naturopath | 3513 Ne 45th St, Suite 2 West, Seattle, WA 98105-5660 | 2014-04-15 |
| 1760729693 | Lauren Procopio | Naturopath | 3513 Ne 45th St, Suite 2 West, Seattle, WA 98105-5660 | 2013-01-11 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407354657 | Vera Whole Health Wa PC | Clinic/Center | 2318 4th Avenue, Seattle, WA 98121 | 2018-01-23 |
| 1649782681 | Functional Medicine Northwest | Clinic/Center | 8010 15th Ave Nw, Suite D, Seattle, WA 98117 | 2017-10-31 |
| 1750790010 | Vera Whole Health Wa PC | Clinic/Center | 500 5th Ave North, Seattle, WA 98109 | 2014-08-11 |
| 1235577958 | Vera Whole Health Wa PC | Clinic/Center | 605 5th Ave S #150, Seattle, WA 98104-3886 | 2013-06-05 |
| 1326385451 | Hopecentral | Clinic/Center | 3826 S Othello St, Seattle, WA 98118-3562 | 2013-01-09 |
| 1619224698 | Tiger Health Clinic | Clinic/Center | 11680 Renton Ave S, Seattle, WA 98178-3044 | 2012-08-09 |
| 1144589680 | Grace Grymes Chapman Pllc | Clinic/Center | 5400 California Ave Sw Ste F, Seattle, WA 98136-1501 | 2012-05-03 |
| 1780985333 | Primary Care Clinic, Inc | Clinic/Center | 4203 Rainier Ave S, Suite C, Seattle, WA 98118-1390 | 2010-11-14 |
| 1316099724 | Holistic Health West | Clinic/Center | 4744 41st Ave Sw Ste 102, Seattle, WA 98116-4566 | 2007-01-17 |
| 1902989577 | West Seattle Community Clinic Pllc | Clinic/Center | 9001 35th Ave Sw, Seattle, WA 98126-4801 | 2006-10-24 |
| 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.