Neurevolution Medicine, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

NT60555957 Issued in WA

Legal business name

NEUREVOLUTION MEDICINE, LLC

Practice address

11644 NE 80TH St
Kirkland, WA 98033-8111

Phone

(425) 780-6638

Fax

(844) 854-4660

NPI assigned

Sep 30, 2015

Organization subpart

Yes

Parent organization

NEUREVOLUTION MEDICINE, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard D. Batson, N.D.

Title

Owner

Phone

(425) 780-6638

Specialties & licenses 1

Addresses

Tax ID family

Neurevolution Medicine LLC3 organizations share this tax ID, including this one

Part of

Neurevolution Medicine LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Neurevolution Medicine, LLC

  • Naturopath
  • Bellevue, WA
  • NPI 1235519349
  NPD tax ID
• Neurevolution Medicine, LLC

  • Naturopath
  • Woodinville, WA
  • NPI 1831579903
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1023488251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11644 NE 80TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338111",
            "telephone_number": "425-780-6638",
            "fax_number": "844-854-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUREVOLUTION MEDICINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUREVOLUTION MEDICINE, LLC",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-780-6638",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "NT60555957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eme Renae Nelson, LMP
• Holly Anne Nelson, D.O.
• Thomas J Nelson, DDS
• Matthew Nervino
• Megan Netherton
• Neurological Associates of Washington
• Nicole Nevey
• New Leaf Counseling LLC
• Valerie Brenda Newbold, MASSAGE THERAPIST
• Karlee Rain Newman

• Non-Pharmacy Dispensing Site in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.