RAVEN NATURAL HEALTH PLLC (NPI# 1588138762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588138762 |
| Entity Type | Organization |
| Organization Name | RAVEN NATURAL HEALTH PLLC |
| Other Organization Name | BRENDON FEGAN LAC |
| Practice Address |
5401 Leary Ave Nw Ste 204 Seattle WA 98107-4070 |
| Mailing Address |
1037 Ne 65th St Ste 365 Seattle WA 98115-6655 |
| Practice Telephone | 2062976013 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | BRENDON FEGAN (OWNER, ACUPUNCTURIST) |
| Authorized Official Telephone | 7349042045 |
| Authorized Official Credential | LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Brendon Fegan LAc | Doing Business As Name - Organization |
| Rebel Med NW | Doing Business As Name - Organization |
| Street Address |
5401 LEARY AVE NW STE 204 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98107-4070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336616929 | Brendon Fegan | Acupuncturist | 5401 Leary Ave Nw Ste 204, Seattle, WA 98107-4070 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1619519493 | Charles Aljon Corpuz Agabin | Pharmacist | 1448 Nw Market Street, Suite 100, Seattle, WA 98107 | 2019-10-12 |
| 1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
| 1740849660 | Harmonic Healing LLC | Acupuncturist | 1551 Nw 54th Street Suite 204, Seattle, WA 98107 | 2019-06-13 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1801363502 | Bianca Marie Maggio | Physical Therapist | 5300 Tallman Ave, Outpatient Rehab Services 1-south, Seattle, WA 98107 | 2018-10-31 |
| 1831690726 | Sara Blackmur | Social Worker | 1417 Nw 54th St Ste 324, Seattle, WA 98107 | 2018-02-26 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1184148413 | John Julian Heal | Occupational Therapy Assistant | 5440 Leary Ave Nw, Unit 321, Seattle, WA 98107 | 2017-07-28 |
| 1710416169 | Heather Tracey Marie Osias | Social Worker | 2251 Nw 60th Street Apt B, Seattle, WA 98107 | 2017-06-08 |
| Find all providers in zip 98107 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413008 | Katrina V Uribe | Acupuncturist | 4303 Woodland Park Ave N, Seattle, WA 98103-7426 | 2020-09-23 |
| 1750992087 | Chelsea Nicole Mikula-chao | Acupuncturist | 10215 Greenwood Ave N Unit S301, Seattle, WA 98133-9338 | 2020-08-11 |
| 1366050718 | Yunhan John Zheng | Acupuncturist | 1111 N 82nd St, Seattle, WA 98103-4404 | 2020-07-21 |
| 1114542131 | Alissa J Hickerson | Acupuncturist | 5512 Roosevelt Way Ne, Seattle, WA 98105-3631 | 2020-06-15 |
| 1114548732 | Dirk Phirose Hein | Acupuncturist | 2400 E Boston St Unit 100, Seattle, WA 98112-3060 | 2020-05-05 |
| 1457986713 | Devin Anne Mcdermott | Acupuncturist | 201 W Olympic Pl Apt 208, Seattle, WA 98119-4758 | 2020-03-06 |
| 1699315275 | Charlie Feiman Yen | Acupuncturist | 626 S Jackson St, Seattle, WA 98104-2911 | 2020-01-10 |
| 1942846530 | Karin Jespersen | Acupuncturist | 404 E Harrison St Apt 201, Seattle, WA 98102-5280 | 2019-11-19 |
| 1043854136 | Olivia Hadenfeldt | Acupuncturist | 2441 8th Ave N Apt D, Seattle, WA 98109-2216 | 2019-10-31 |
| 1730738568 | Hector Trujillo | Acupuncturist | 1109 N Allen Pl Apt 100, Seattle, WA 98103-7457 | 2019-09-04 |
| Find all providers in SEATTLE | ||||
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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.