HOLISTIC FAMILY CARE CLINIC LLC (NPI# 1013522580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013522580 |
| Entity Type | Organization |
| Organization Name | HOLISTIC FAMILY CARE CLINIC LLC |
| Practice Address |
721 M St Ne Ste 105 Auburn WA 98002-4503 |
| Practice Telephone | 2537661161 |
| Practice Fax Number | 2538045655 |
| Mailing Telephone | 2537661161 |
| Mailing Fax Number | 2538045655 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | MUNA IBRAHIM OSMAN (ARNP) |
| Authorized Official Telephone | 2537661161 |
| Authorized Official Credential | DNP FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | HOLISTIC FAMILY CARE CLINIC LLC | 29428 120th Ave Se, Auburn, WA 98092-3266 |
| Street Address |
721 M ST NE STE 105 |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568648442 | Jolene Harlow | Chiropractor | 721 M St Ne Ste 105, Auburn, WA 98002 | 2008-01-10 |
| 1578031266 | Muna Ibrahim Osman | Nurse Practitioner | 721 M St Ne Ste 105, Auburn, WA 98002-4503 | 2018-11-12 |
| 1609351683 | Bev Castillo | Acupuncturist | 721 M St Ne Ste 105, Auburn, WA 98002-4503 | 2018-09-26 |
| 1477051480 | Harlow Chiropractic, Pllc | Chiropractor | 721 M St Ne Ste 105, Auburn, WA 98002-4503 | 2018-01-24 |
| 1033367594 | Judi M Dedge | Specialist | 721 M St Ne Ste 105, Auburn, WA 98002-4503 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1104064641 | Internal Medicine Clinic LLC | Clinic/Center | 202 Auburn Ave, Auburn, WA 98002-5015 | 2009-01-21 |
| 1265687818 | Cary Creek Medical PC Dba Beauregard Clinic | Clinic/Center | 2900 E University Dr Ste 110, Auburn, AL 36830-7720 | 2008-11-24 |
| 1346488707 | Auburn Primary Care, PC | Clinic/Center | 12 7th St, Auburn, GA 30011-3202 | 2009-01-23 |
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| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1548800451 | Vera Whole Health Wa PC | Clinic/Center | 1601 N Division St, Spokane, WA 99207-2427 | 2020-01-08 |
| 1821634312 | Columbia Basin Mobile Medicine LLC | Clinic/Center | 1357 Platinum Pl, West Richland, WA 99353-5108 | 2019-11-20 |
| 1063056497 | A Community Wellness Clinic LLC | Clinic/Center | 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 | 2019-10-29 |
| 1013550987 | Rejuventa Medical Corp. | Clinic/Center | 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 | 2019-10-23 |
| 1023668407 | Vera Whole Health Wa, PC | Clinic/Center | 4933 Evergreen Way, Everett, WA 98203-2828 | 2019-09-17 |
| 1679042501 | Family and Wellness Medicine | Clinic/Center | 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 | 2018-11-20 |
| Find all providers with the same taxonomy | ||||
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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.