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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | NT60555957 | WA | Suppliers |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | NEUREVOLUTION MEDICINE, LLC | 1300 114th Ave Se Ste 106, Bellevue, WA 98004-6928 |
Street Address |
11644 NE 80TH ST |
City | KIRKLAND |
State | WA |
Zip Code | 98033-8111 |
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 |
Find all providers in zip 98033 |
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 |
---|---|---|---|---|
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 |
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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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.