INSTITUTE OF COMPLEMENTARY MEDICINE, LLC (NPI# 1902277817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902277817 |
| Entity Type | Organization |
| Organization Name | INSTITUTE OF COMPLEMENTARY MEDICINE, LLC |
| Practice Address |
1600 E Jefferson St Suite 603 Seattle WA 98122-5698 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
| Practice Telephone | 2067260034 |
| Practice Fax Number | 8884318819 |
| Mailing Telephone | 3109434180 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | KIM M. CELMER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2067260034 |
| Authorized Official Credential | N.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | INSTITUTE OF COMPLEMENTARY MEDICINE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | NT00000832 | WA | Suppliers |
| Street Address |
1600 E JEFFERSON ST SUITE 603 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614861 | Jeffrey T Reiter | Psychologist | 1600 E Jefferson St, Ste 510, Seattle, WA 98122-5698 | 2005-07-22 |
| 1518458678 | Pamela Willingham | Physical Therapist | 1600 E Jefferson St, Seattle, WA 98122 | 2018-05-24 |
| 1740729300 | Mary Henry | Audiologist | 1600 E Jefferson St, Jefferson Tower Suite 205, Seattle, WA 98122-5698 | 2017-02-15 |
| 1326592304 | Jenna Kathryn Bailey | Naturopath | 1600 E Jefferson St, Seattle, WA 98122-5698 | 2016-08-08 |
| 1700236080 | Nathan Allen Coomer | Physical Therapist | 1600 E Jefferson St, Suite A1, Seattle, WA 98122-5698 | 2016-06-16 |
| 1881058832 | Laboratory Corporation of America | Clinical Medical Laboratory | 1600 E Jefferson St, Suite 510, Seattle, WA 98122-5698 | 2016-04-06 |
| 1417327768 | Simon Gordon Gale | Occupational Therapist | 1600 E Jefferson St, Suite A, Seattle, WA 98122-5698 | 2015-09-29 |
| 1619363074 | Genevieve Catherine Courtney | Naturopath | 1600 E Jefferson St, Suite 603, Seattle, WA 98122-5698 | 2015-04-13 |
| 1619379237 | Erica Jayne Joseph | Acupuncturist | 1600 E Jefferson St, Suite 603, Seattle, WA 98122-5698 | 2014-09-25 |
| 1457770828 | Christiane Rekai | Nurse Practitioner | 1600 E Jefferson St, Suite 110, Seattle, WA 98122-5698 | 2014-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1841800752 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 517 Union St, Seattle, WA 98101-2308 | 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 |
| 1548870470 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 1570 W Armory Way Ste 102, Seattle, WA 98119-2720 | 2020-08-05 |
| 1144830076 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 624 N 34th St # 104, Seattle, WA 98103-8604 | 2020-08-05 |
| 1467062232 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4540 University Way Ne, Seattle, WA 98105-4511 | 2020-08-05 |
| 1407466303 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2301 2nd Ave, Seattle, WA 98121-1709 | 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.