WHOLEHEARTED FUNCTIONAL MEDICINE (NPI# 1073062972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073062972 |
Entity Type | Organization |
Organization Name | WHOLEHEARTED FUNCTIONAL MEDICINE |
Practice Address |
430 E Lauridsen Blvd 212 Port Angeles WA 98362-7978 |
Practice Telephone | 3604575139 |
Mailing Telephone | 3604575139 |
Enumeration Date | 2016-10-03 |
Last Update Date | 2016-10-31 |
Authorized Official Name | REBECCA ZAMBITO (OWNER) |
Authorized Official Telephone | 3604575139 |
Authorized Official Credential | ARNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
AP300006177 | WA | Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | WHOLEHEARTED FUNCTIONAL MEDICINE PLLC | 376 W Bell St, Sequim, WA 98382-3755 |
Street Address |
430 E LAURIDSEN BLVD 212 |
City | PORT ANGELES |
State | WA |
Zip Code | 98362-7978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124000880 | Shawn K Hankins | Chiropractor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2005-11-17 |
1689143471 | Tien Vo | Counselor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2018-11-21 |
1568880680 | Susan Crumley Johnson | Social Worker | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2014-04-05 |
1215288352 | Marisa Lael Christopher | Specialist | 430 E Lauridsen Blvd, #113, Port Angeles, WA 98362-7978 | 2012-09-28 |
1952690539 | Julie Kathleen Hayduk | Massage Therapist | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2011-04-04 |
1659679314 | Allison Marie Williams | Counselor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2011-03-04 |
1831490549 | Heather Nicole Case | Specialist | 430 E Lauridsen Blvd, 113, Port Angeles, WA 98362-7978 | 2010-11-11 |
1265743546 | Robert Michael Perry | Counselor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2010-07-01 |
1326295320 | Rachel Hardies X | Counselor | 430 E Lauridsen Blvd, Port Angeles, WA 98362-7978 | 2008-08-20 |
1235358649 | Hildegard Elizabeth Martin | Massage Therapist | 430 E Lauridsen Blvd, Ste. 211, Port Angeles, WA 98362-7978 | 2007-04-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
Find all providers in zip 98362 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841316023 | Lower Elwha Klallam Tribe | Clinic/Center | 2851 Lower Elwha Rd, Port Angeles, WA 98363-8409 | 2007-03-21 |
1265834899 | Lower Elwha Health Clinic | Clinic/Center | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2014-09-26 |
1700299096 | Sound Sleep Solutions, LLC | Clinic/Center | 104 W 3rd St, Port Angeles, WA 98362-2825 | 2014-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417558784 | Barono Consulting LLC | Clinic/Center | 23449 28th Ave S, Des Moines, WA 98198-8724 | 2020-11-03 |
1396381653 | Meghan Devonport, Lmp | Clinic/Center | 1417 Nw 54th St Ste 455, Seattle, WA 98107-3564 | 2019-11-21 |
1982255626 | Pnw Acupuncture and Wellness Pllc | Clinic/Center | 9559 Sand Point Way Ne, Seattle, WA 98115-2621 | 2019-09-24 |
1144877671 | Manifest Medicine Pllc | Clinic/Center | The Healing Art Center, 453 N Beach Rd, Eastsound, WA 98245-8927 | 2019-08-20 |
1952962383 | A Well Kneaded Massage | Clinic/Center | 312 E Pioneer, Puyallup, WA 98372-3264 | 2019-06-26 |
1174080881 | P4 Medicine Institute | Clinic/Center | 464 12th Ave Fl 400, Seattle, WA 98122-5567 | 2019-02-28 |
1740764109 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 3850 S Meridian Ste 3, Puyallup, WA 98373-3701 | 2018-09-21 |
1841774809 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 3811 Broadway Ste 3, Everett, WA 98201-5031 | 2018-09-17 |
1750865713 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 2602 S 38th St Ste C, Tacoma, WA 98409-7303 | 2018-09-17 |
1053895011 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 200 Andover Park E Ste 1, Tukwila, WA 98188-2938 | 2018-09-17 |
Find all providers with the same taxonomy |
City | PORT ANGELES |
Zip Code | 98362 |
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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.