Jared Erickson, NP-C

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

License

AP61504919 Issued in WA

Practice address

509 Olive Way Ste 803
Seattle, WA 98101-1769

Phone

(206) 208-0708

NPI assigned

Nov 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1023883162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 32ND AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443240",
            "telephone_number": "425-346-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 803",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011769",
            "telephone_number": "206-208-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JARED",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WA",
            "license": "AP61504919",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "WA",
            "license": "AP61504919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Erickson, LICSW
• Corazon Espina Erickson, ARNP
• Drew Erickson, LMP
• Elizabeth Ann Erickson, M.S., LMHC
• Grace J Erickson, LMHCA
• Jennifer D Erickson, OT, CHT
• Jennifer Marie Erickson, D.O.
• Joan Erickson, OTR
• Joseph David Erickson, RPH
• Kimberly D Erickson

• Integrative Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Integrative Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.