NPIMap

Organization Active NPI

Alpine Integrated Medicine LLC

  • Naturopath
  • Redmond, WA
National Provider Identifier
1043597578
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT00001446 Issued in WA
Legal business name
ALPINE INTEGRATED MEDICINE LLC
Practice address
22635 NE Marketplace Dr
Suite 130
Redmond, WA 98053-5885
Phone
(425) 949-5961
Fax
(425) 949-5962
NPI assigned
Nov 11, 2011
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Brooke Azie-Rentz, NDNPI 1750449021
Title
Naturopath/Owner
Phone
(425) 949-5961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00003009 WA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA000232120 WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT00001446 WA Primary

Addresses

Primary practice location

22635 NE Marketplace Dr
Suite 130
Redmond, WA 98053-5885

Mailing address

22635 NE Marketplace Dr
Suite 130
Redmond, WA 98053-5885
Phone (425) 949-5961

National Provider Directory

National Provider Directory

Locations

22635 NE Marketplace Dr
Ste 130
Redmond, WA 98053
Phone (425) 949-5861

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1043597578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22635 NE MARKETPLACE DR",
            "address_2": "SUITE 130",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535885",
            "telephone_number": "425-949-5961",
            "fax_number": "425-949-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22635 NE MARKETPLACE DR",
            "address_2": "SUITE 130",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535885",
            "telephone_number": "425-949-5961",
            "fax_number": "425-949-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE INTEGRATED MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "AZIE-RENTZ",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "NATUROPATH/OWNER",
        "authorized_official_telephone_number": "425-949-5961",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00003009",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA000232120",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.