EMERALD CENTER FOR INTEGRATIVE MEDICINE, LLC (NPI# 1972970895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972970895 |
Entity Type | Organization |
Organization Name | EMERALD CENTER FOR INTEGRATIVE MEDICINE, LLC |
Practice Address |
9730 3rd Ave Ne Suite 202 Seattle WA 98115-2023 |
Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
Practice Telephone | 2065255576 |
Mailing Telephone | 3109434180 |
Mailing Fax Number | 8884318819 |
Enumeration Date | 2015-08-26 |
Last Update Date | 2015-09-23 |
Authorized Official Name | TERESA A. GOLDSMITH (OWNER) |
Authorized Official Telephone | 2065255576 |
Authorized Official Credential | N.D. |
Is Organization Subpart | Y |
Parent Organization Name | EMERALD CENTER FOR INTEGRATIVE MEDICINE, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | NT60252705 | WA | Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | EMERALD CENTER FOR INTEGRATIVE MEDICINE, LLC | 155 Ne 100th St, Suite #402, Seattle, WA 98125-8010 |
Street Address |
9730 3RD AVE NE SUITE 202 |
City | SEATTLE |
State | WA |
Zip Code | 98115-2023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285639153 | Jeffrey D. Green | Dentist | 9730 3rd Ave Ne, Ste 103, Seattle, WA 98115-2023 | 2005-06-16 |
1255991261 | Orange Poppy 5 Element Acupuncture | Acupuncturist | 9730 3rd Ave Ne, Seattle, WA 98115-2023 | 2019-06-20 |
1982075065 | Audra Andrews | Acupuncturist | 9730 3rd Ave Ne, #202, Seattle, WA 98115-2023 | 2015-10-14 |
1639437973 | Thom Markeson Dentistry, Ps | Dentist | 9730 3rd Ave Ne, Suite 107, Seattle, WA 98115-2023 | 2012-04-24 |
1568734200 | Teresa Aileen Goldsmith | Naturopath | 9730 3rd Ave Ne, Suite #202, Seattle, WA 98115-2023 | 2012-01-26 |
1912211772 | Elizabeth S Smoots | Family Medicine | 9730 3rd Ave Ne, Suite 202, Seattle, WA 98115-2023 | 2010-08-03 |
1982832333 | Four Creeks Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 9730 3rd Ave Ne, Suite 200, Seattle, WA 98115-2023 | 2009-06-24 |
1538312038 | Gary L Bell Dds Ps | Dentist | 9730 3rd Ave Ne, Suite 204, Seattle, WA 98115-2023 | 2008-10-28 |
1730338252 | Edward Lloyd Mosshart | Counselor | 9730 3rd Ave Ne, Suite 101, Seattle, WA 98115-2023 | 2008-09-09 |
1801050786 | Emerald Center for Integrative Medicine LLC | Psychologist | 9730 3rd Ave Ne, Suite 202, Seattle, WA 98115-2023 | 2008-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
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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] |
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---|---|---|---|---|
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.