WHOLEHEARTED FUNCTIONAL MEDICINE


Address: 430 E Lauridsen Blvd, 212, Port Angeles, WA 98362-7978
Phone: 3604575139

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
AP300006177 WA Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations WHOLEHEARTED FUNCTIONAL MEDICINE PLLC 376 W Bell St, Sequim, WA 98382-3755

Office Location

Street Address 430 E LAURIDSEN BLVD
212
City PORT ANGELES
State WA
Zip Code 98362-7978

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City PORT ANGELES
Zip Code 98362

Improve Information

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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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