Individual provider Active NPI

Kye Peven, ND, DSOM, EAMP

  • Naturopath
  • Seattle, WA
National Provider Identifier
1083122626
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT61010075 Issued in WA
Practice address
3301 Burke Ave N Ste 360
Seattle, WA 98103-9054
Phone
(206) 531-2717
Fax
(833) 974-2242
NPI assigned
Jan 17, 2018
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC17881 CA
Acupuncturist 171100000X AC60924576 WA
Naturopath 175F00000X ND947 CA
Naturopath 175F00000X NT61010075 WA Primary

Addresses

Primary practice location

3301 Burke Ave N Ste 360
Seattle, WA 98103-9054

Mailing address

3301 Burke Ave N Ste 360
Seattle, WA 98103-9054
Phone (206) 531-2717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC17881CAMDAcupuncturist
AC60924576WAMDAcupuncturist
ND947CAMDNaturopath
NT61010075WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Systems Healthcare Acupuncturist CurrentSince Sep 25, 2022 Accepting new patients

Locations

1417 NW 54th St
Ste 312
Seattle, WA 98107
Phone (509) 906-4596

3301 Burke Ave N
Ste 360
Seattle, WA 98103
Phone (206) 531-2717

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21316/brand/4/csg/1/fhir/r4
  • Direct secure messaging: kye.peven.1@21316.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1083122626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BURKE AVE N STE 360",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039054",
            "telephone_number": "206-531-2717",
            "fax_number": "833-974-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BURKE AVE N STE 360",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981039054",
            "telephone_number": "206-531-2717",
            "fax_number": "833-974-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVEN",
        "first_name": "KYE",
        "name_prefix": "Dr.",
        "credential": "ND, DSOM, EAMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17881",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60924576",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND947",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61010075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.