RED CEDAR WELLNESS CENTER, PLLC (NPI# 1114332848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114332848 |
| Entity Type | Organization |
| Organization Name | RED CEDAR WELLNESS CENTER, PLLC |
| Practice Address |
1601 116th Ave Ne Suite 100 Bellevue WA 98004-3010 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
| Practice Telephone | 4254510999 |
| Mailing Telephone | 3109434180 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | LAURA A. JAMES (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4254510999 |
| Authorized Official Credential | N.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | RED CEDAR WELLNESS CENTER, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | NT00001159 | WA | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RED CEDAR WELLNESS CENTER, PLLC | 1601 116th Ave Ne Ste 100, Bellevue, WA 98004-3010 |
| Street Address |
1601 116TH AVE NE SUITE 100 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326099482 | Janile Martin | Nurse Practitioner | 1601 116th Ave Ne, Suite 100, Bellevue, WA 98004-3010 | 2006-05-13 |
| 1639534506 | Megan Taylor | Specialist/Technologist | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2015-12-20 |
| 1356712632 | Evan Palmer | Physical Therapist | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2015-10-13 |
| 1356719215 | Christina Messak | Physical Therapist | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2015-09-09 |
| 1356728547 | Andrea Wilson | Massage Therapist | 1601 116th Ave Ne, Ste 111, Bellevue, WA 98004 | 2015-04-27 |
| 1083001176 | Dayna Marie Powers | Massage Therapist | 1601 116th Ave Ne, Ste 111, Bellevue, WA 98004 | 2015-04-16 |
| 1477984458 | Mardi Mills Lcsw LLC | Social Worker | 1601 116th Ave Ne, Suite 104, Bellevue, WA 98004-3010 | 2013-12-02 |
| 1508102989 | Everett Physical Therapy & Sportsperformance Center Pllc | Clinic/Center | 1601 116th Ave Ne, Suite 101, Bellevue, WA 98004-3010 | 2012-12-12 |
| 1639414147 | Christina Marie Lange | Counselor | 1601 116th Ave Ne, Suite 114, Bellevue, WA 98004-3010 | 2012-12-10 |
| 1366792582 | Surinder Antal Counseling Services | Counselor | 1601 116th Ave Ne, Suite 102, Bellevue, WA 98004-3010 | 2012-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| 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 |
|---|---|---|---|---|
| 1740890268 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 10541 Ne 4th St, Bellevue, WA 98004-5023 | 2020-08-10 |
| 1437769320 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 10425 Ne 8th St, Bellevue, WA 98004-4346 | 2020-08-05 |
| 1851750822 | Rapha Integrative Family Clinic, Pllc | Non-Pharmacy Dispensing Site | 1603 116th Ave Ne, Suite 111, Bellevue, WA 98004-3009 | 2016-02-18 |
| 1629444104 | Bellevue Center for Health, Pllc | Non-Pharmacy Dispensing Site | 1260 116th Ave Ne, Suite 100, Bellevue, WA 98004-3800 | 2015-08-19 |
| 1750771614 | Anastasiya A. Lenskiy | Non-Pharmacy Dispensing Site | 41 148th Ave Se, Suite 3, Bellevue, WA 98007-5167 | 2015-01-30 |
| 1528467289 | Dorothy Laura Johnson | Non-Pharmacy Dispensing Site | 5611 119th Ave Se, Suite 4, Bellevue, WA 98006-3799 | 2014-08-19 |
| 1548671555 | George Y. Lee, M.d., P.s. | Non-Pharmacy Dispensing Site | 14858 Lake Hills Blvd, Bellevue, WA 98007-5809 | 2014-05-13 |
| 1841623691 | Medical Arts Associates, P.s. | Non-Pharmacy Dispensing Site | 1380 112th Ave Ne, Suite 100, Bellevue, WA 98004-3759 | 2013-08-15 |
| 1508204736 | Washington Center for Pain Management, Pllc | Non-Pharmacy Dispensing Site | 1900 116th Ave Ne, Suite 201, Bellevue, WA 98004-3052 | 2013-06-10 |
| 1154764413 | Whole Family Clinic, LLC | Non-Pharmacy Dispensing Site | 1530 140th Ave Ne, Suite 101, Bellevue, WA 98005-4574 | 2013-04-16 |
| Find all providers in BELLEVUE | ||||
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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.