NEUREVOLUTION MEDICINE, LLC


Address: 11644 Ne 80th St, Kirkland, WA 98033-8111
Phone: 4257806638

NEUREVOLUTION MEDICINE, LLC (NPI# 1023488251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023488251
Entity Type Organization
Organization Name NEUREVOLUTION MEDICINE, LLC
Practice Address 11644 Ne 80th St
Kirkland
WA 98033-8111
Mailing Address 2980 N Beverly Glen Cir
Ste 100
Los Angeles
CA 90077-1726
Practice Telephone 4257806638
Practice Fax Number 8448544660
Mailing Telephone 3109434180
Mailing Fax Number 8884318819
Enumeration Date 2015-09-30
Last Update Date 2015-10-30
Authorized Official Name RICHARD D. BATSON (OWNER)
Authorized Official Telephone 4257806638
Authorized Official Credential N.D.
Is Organization Subpart Y
Parent Organization Name NEUREVOLUTION MEDICINE, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site NT60555957 WA Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831579903 Neurevolution Medicine, LLC Naturopath 16040 Ne 184th Pl, Woodinville, WA 98072-9614 2015-06-04
1235519349 Neurevolution Medicine, LLC Naturopath 1300 114th Ave Se, Suite 106, Bellevue, WA 98004-6942 2015-06-03

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations NEUREVOLUTION MEDICINE, LLC 1300 114th Ave Se Ste 106, Bellevue, WA 98004-6928

Office Location

Street Address 11644 NE 80TH ST
City KIRKLAND
State WA
Zip Code 98033-8111

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584826 Raquel Maria Reyes Interpreter 11205 Ne 62nd St., Kirkland, WA 98033 2020-10-02
1588146468 Lake Washington Family Chiropractic, Pllc Chiropractor 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 2018-09-06
1316463557 Tony Jia Ly Pharmacist 7224 120th Ave Ne, Kirkland, WA 98033 2017-08-18
1003356403 Eden Home Health of King County, LLC Home Health 733 7th Avenue, Suite 110, Kirkland, WA 98033 2017-03-03
1184170763 Kirkland Family Dentistry Dentist 1715 Market St #104, Kirkland, WA 98033 2016-09-01
1144688565 Kamala Psychology and Yoga LLC Psychologist 603 4th Ave Ste 101, Kirkland, WA 98033 2016-01-30
1245695352 Ron Massey Massage Therapist 11406 Ne 112th St, Kirkland, WA 98033 2015-12-17
1194106039 John Pham Internal Medicine 9426 116th Ave Ne, Kirkland, WA 98033 2015-06-16
1992199970 Garrison Patrick Wier Ophthalmology 625 4th Ave Ste 301, Kirkland, WA 98033 2015-03-26
1871993113 Abigail Trajtenberg Loomis Behavioral Analyst 1003 7th Avenue, Kirkland, WA 98033 2014-08-22
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043664436 Lily Jei-ho Chang Non-Pharmacy Dispensing Site 12710 102nd Ave Ne, Kirkland, WA 98034-2847 2016-04-21
1467842161 Centered In Wellness, LLC Non-Pharmacy Dispensing Site 12815 120th Ave Ne, Suite A, Kirkland, WA 98034-3003 2015-02-02
1477953222 Comprehensive Natural Medicine, Pllc Non-Pharmacy Dispensing Site 11821 Ne 128th St, Suite H, Kirkland, WA 98034-7210 2014-08-29
1538437389 Amanda Monwai Non-Pharmacy Dispensing Site 12911 120th Ave Ne, A40, Kirkland, WA 98034-3027 2011-12-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740890268 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 10541 Ne 4th St, Bellevue, WA 98004-5023 2020-08-10
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
1538779137 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 781 W Columbia Way, Vancouver, WA 98660 2020-08-07
1659981272 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 15911 Westminister Way N., Shoreline, WA 98113 2020-08-07
1841800752 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 517 Union St, Seattle, WA 98101-2308 2020-08-05
1437769320 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 10425 Ne 8th St, Bellevue, WA 98004-4346 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
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Competitor

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City KIRKLAND
Zip Code 98033

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Dataset Information

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.

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