NPIMap

Organization Active NPI

Vital Family Medicine, PLLC

  • Multi-Specialty Clinic/Center
  • Seattle, WA
National Provider Identifier
1083965792
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
603118032 Issued in WA
Legal business name
VITAL FAMILY MEDICINE, PLLC
Practice address
3513 NE 45TH St Ste 2
Seattle, WA 98105-5665
Phone
(206) 518-8938
Fax
(206) 525-3273
NPI assigned
Sep 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Margie Ikeda, ND
Title
Owner
Phone
(206) 518-8939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 603118032 WA Primary

Addresses

Primary practice location

3513 NE 45TH St Ste 2
Seattle, WA 98105-5665

Mailing address

3513 NE 45TH St Ste 2
Seattle, WA 98105-5665
Phone (206) 518-8938

National Provider Directory

National Provider Directory
Tax ID family
Natural Medicine of Seattle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1083965792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 NE 45TH ST STE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055665",
            "telephone_number": "206-518-8938",
            "fax_number": "206-525-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 NE 45TH ST STE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055665",
            "telephone_number": "206-518-8938",
            "fax_number": "206-525-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "IKEDA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-518-8939",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "603118032",
            "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 21, 2012; 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.