Organization Active NPI

Primavita Family Medicine

  • Naturopath
  • Redmond, WA
National Provider Identifier
1063878684
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60071822 Issued in WA
Legal business name
PRIMAVITA FAMILY MEDICINE
Practice address
15446 Bel Red Rd Ste B15
Redmond, WA 98052-5507
Phone
(425) 273-0741
Fax
(844) 218-1125
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Ms. Lorina Shinsato, N.D., EAMPNPI 1457592966
Title
Owner
Phone
(425) 273-0741

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60071802 WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60071822 WA Primary

Addresses

Primary practice location

15446 Bel Red Rd Ste B15
Redmond, WA 98052-5507

Mailing address

15446 Bel Red Rd Ste B15
Redmond, WA 98052-5507
Phone (425) 273-0741

National Provider Directory

National Provider Directory

Locations

15446 Bellevue Redmond Rd
Ste B15
Redmond, WA 98052
Phone (206) 697-9540

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1063878684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE B15",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525507",
            "telephone_number": "425-273-0741",
            "fax_number": "844-218-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15446 BEL RED RD STE B15",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525507",
            "telephone_number": "425-273-0741",
            "fax_number": "844-218-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMAVITA FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "SHINSATO",
        "authorized_official_first_name": "LORINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-273-0741",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.D., EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60071802",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60071822",
            "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 Jan 12, 2016; 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.