REVIVE LOW T, LLC (NPI# 1922425248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922425248 |
| Entity Type | Organization |
| Organization Name | REVIVE LOW T, LLC |
| Other Organization Name | REVIVE LOW T CLINIC |
| Practice Address |
11903 Ne 128th St Suite A Kirkland WA 98034-7209 |
| Mailing Address |
11911 Ne 132nd St Ste 103 Kirkland WA 98034-2900 |
| Practice Telephone | 2069604770 |
| Practice Fax Number | 8669981837 |
| Mailing Telephone | 2069604770 |
| Mailing Fax Number | 8669981837 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2019-04-08 |
| Authorized Official Name | ELISA AARVIK (MANAGER) |
| Authorized Official Telephone | 2069604770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | NT60120417 | WA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Revive Low T Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225550551 | Revive Low T, LLC | Naturopath | 720 S 320th St Ste A, Federal Way, WA 98003-5254 | 2017-07-07 |
| 1558700856 | Revive Low T, LLC | Naturopath | 4500 9th Ave Ne # 80, Seattle, WA 98105-4737 | 2013-06-19 |
| 1811339963 | Revive Low T, LLC | Naturopath | 11911 Ne 132nd St Ste 103, Kirkland, WA 98034-2900 | 2013-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | REVIVE LOW T, LLC | 11911 Ne 132nd St Ste 103, Kirkland, WA 98034 |
| Street Address |
11903 NE 128TH ST SUITE A |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801849948 | Astier M Alem | Specialist | 11903 Ne 128th St, Ste B, Kirkland, WA 98034-7209 | 2006-05-18 |
| 1427475862 | Gile & Stahl, Pllc | Dentist | 11903 Ne 128th St, Suite D, Kirkland, WA 98034-7209 | 2014-03-24 |
| 1679856512 | Kimberly C Otis | Naturopath | 11903 Ne 128th St, Suite B, Kirkland, WA 98034-7209 | 2011-09-27 |
| 1386802007 | Mark G. Ochenrider, Pllc | Internal Medicine | 11903 Ne 128th St, Suite B, Kirkland, WA 98034-7209 | 2008-05-29 |
| 1376661397 | Kevin Scott Ritola | Dentist | 11903 Ne 128th St, Suite D, Kirkland, WA 98034-7209 | 2007-03-27 |
| 1215098587 | Robert B. Kierstein | Podiatrist | 11903 Ne 128th St, Suite C, Kirkland, WA 98034-7209 | 2006-12-12 |
| 1679648216 | John Huang | Dentist | 11903 Ne 128th St, Suite D, Kirkland, WA 98034-7209 | 2006-11-21 |
| 1700962099 | Woodinville Wellness Center | Naturopath | 11903 Ne 128th St, Suite B, Kirkland, WA 98034-7209 | 2006-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| 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 |
|---|---|---|---|---|
| 1750988085 | Jane C Litsey | Naturopath | 13245 67th Ave Ne, Kirkland, WA 98034-1652 | 2020-10-09 |
| 1215498159 | Sara Jo Stuver-paheco | Naturopath | 14164 73rd Pl Ne Apt D104, Kirkland, WA 98034-4037 | 2019-03-25 |
| 1952876591 | Jacqueline Byrne | Naturopath | 12911 120th Ave Ne Ste E50, Kirkland, WA 98034-3046 | 2018-10-10 |
| 1942656566 | Maggie Fox | Naturopath | 14200 73rd Ave Ne Apt E201, Kirkland, WA 98034-4029 | 2016-05-12 |
| 1881080349 | Kimberly Robin Schmalfuss Hansen | Naturopath | 7340 Ne 142nd Pl, Apt B, Kirkland, WA 98034-4953 | 2015-04-11 |
| 1770987224 | Jeff Thomas | Naturopath | 11307 Ne 65th St, Kirkland, WA 98033-7114 | 2014-10-13 |
| 1619255320 | Carolyn Lee Bearss | Naturopath | 10427 Ne 109th St, Kirkland, WA 98033-4454 | 2011-07-29 |
| 1952609711 | Nancy Sanborn | Naturopath | 13032 Ne 73rd St, Kirkland, WA 98033-8310 | 2011-03-03 |
| 1598075947 | Xochitl Palomino | Naturopath | 12040 98th Ave Ne Ste 103, Kirkland, WA 98034-4217 | 2010-10-19 |
| 1568775518 | Barry Michael Wheeler | Naturopath | 11911 Ne 132nd St Ste 103, Kirkland, WA 98034-2900 | 2010-07-20 |
| Find all providers in KIRKLAND | ||||
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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.