ALIVE INTEGRATIVE MEDICINE, LLC (NPI# 1689020372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689020372 |
| Entity Type | Organization |
| Organization Name | ALIVE INTEGRATIVE MEDICINE, LLC |
| Practice Address |
1902 Jefferson St Suite 1 Eugene OR 97405-2414 |
| Practice Telephone | 5416363079 |
| Practice Fax Number | 5416312636 |
| Mailing Telephone | 5416363079 |
| Mailing Fax Number | 5416312636 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | DR. A. BRIELLE MELE (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 5416363079 |
| Authorized Official Credential | N.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | 21683 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 175F00000X | Naturopath | 1968 | OR | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ALIVE INTEGRATIVE MEDICINE, LLC | 1902 Jefferson St Ste 1, Eugene, OR 97405 |
| Street Address |
1902 JEFFERSON ST SUITE 1 |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104906981 | Debra Susan Blaker | Nurse Practitioner | 1902 Jefferson St, Suite 2, Eugene, OR 97405-2414 | 2006-10-16 |
| 1053614040 | Chiropractic Pain & Prevention Center P.C. | Clinic/Center | 1902 Jefferson St, Ste 1, Eugene, OR 97405-2485 | 2010-12-13 |
| 1831378025 | Blaker Enterprises Inc | Nurse Practitioner | 1902 Jefferson St, Suite 2, Eugene, OR 97405-2414 | 2007-10-24 |
| 1699984203 | Mary Ellen Carpenter | Nurse Practitioner | 1902 Jefferson St, Suite 2, Eugene, OR 97405-2414 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518526508 | Avantgarde Aesthetic and Wellness Medical Center | Naturopath | 1000 Willagillespie Rd Ste 175, Eugene, OR 97401-7106 | 2019-06-12 |
| 1124448873 | Jelena Blackburn | Naturopath | 1000 Willagillespie Ste.175, Eugene, OR 97401-6003 | 2014-04-21 |
| 1568784551 | Kimberly Anne Foster | Naturopath | 1278 Arcadia Dr, Eugene, OR 97401-5343 | 2010-02-18 |
| 1881929099 | Justin Wade Morse | Naturopath | 1165 Pearl St, Eugene, OR 97401-3521 | 2009-10-05 |
| 1518160639 | Skye Weintraub | Naturopath | 2709 Hallmark Ln, Eugene, OR 97405-5541 | 2007-06-06 |
| 1477674059 | Christine Kaczor | Naturopath | 247 W 10th Ave, Eugene, OR 97401-3008 | 2007-04-02 |
| 1629196654 | Elizabeth Dickey | Naturopath | 2158 Olive St, Eugene, OR 97405-2838 | 2007-03-27 |
| 1730218371 | Rachel Hess | Naturopath | 395 W Broadway, Eugene, OR 97401-2869 | 2007-03-02 |
| 1417097882 | Ananda Stiegler | Naturopath | 1397 Willamette St, Eugene, OR 97401-4002 | 2007-02-07 |
| 1649321670 | Debra Louise Martin-belleville | Naturopath | 911 Country Club Rd Ste 270, Eugene, OR 97401-6046 | 2007-01-16 |
| Find all providers in EUGENE | ||||
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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.