North West Roots Wellness Center

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60455117 Issued in WA

Legal business name

NORTH WEST ROOTS WELLNESS CENTER

Practice address

17090 Avondale Way NE
Redmond, WA 98052-4409

Phone

(425) 518-2337

NPI assigned

Jul 6, 2018

Last updated

Jul 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennie L Mills, LMTNPI 1720470453

Title

Owner

Phone

(425) 518-2337

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennie Mills, LMT, CCT, CD(DONA)

  • Massage Therapist
  • Snoqualmie, WA
  • NPI 1720470453
  NPD Authorized official
• Payton Brown, LMT

  • Massage Therapist
  • Redmond, WA
  • NPI 1891409546
  NPD (past)

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1033605654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 MILLS PL NE",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459440",
            "telephone_number": "425-518-2337",
            "fax_number": "425-888-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17090 AVONDALE WAY NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524409",
            "telephone_number": "425-518-2337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Bendigo Blvd N",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "WA",
            "postal_code": "980458259",
            "country_code": "US",
            "telephone_number": "425-518-2337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH WEST ROOTS WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-518-2337",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60455117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan P Nohr, DDS
• Peter Nomides
• Kumiko Y. Nomoto, M.D.
• Reema Noor
• Norcross Way Inc. Dba Foot Solutions
• Curtis H Northrop
• Northwest Asthma & Allergy Center
• Northwest Asthma & Allergy Center
• Christopher Thomas Norwood
• Thomas Norwood, AU.D.

• Massage Therapist in Redmond, WA
• Providers in Redmond, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.