Holistique Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HOLISTIQUE PRIMARY CARE LLC

Practice address

1200 116TH Ave NE Ste B
Bellevue, WA 98004-3802

Phone

(425) 451-0404

Fax

(425) 462-8919

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jahanshah Darvish

Title

Vice President

Phone

(206) 321-2202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1093470668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 116TH AVE NE STE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043802",
            "telephone_number": "425-451-0404",
            "fax_number": "425-462-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 116TH AVE NE STE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043802",
            "telephone_number": "425-451-0404",
            "fax_number": "425-462-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIQUE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "DARVISH",
        "authorized_official_first_name": "JAHANSHAH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "206-321-2202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadan Holdren
• Holistic Family Wellness Clinic
• Holistic Integrated Medicine
• Holistic Psychiatry, PLLC
• Holistique Health Institute Inc.
• Elaine Louise Hollaway, PT
• William Chapman Holliday, M.D.
• Darcy Hollie, MAED., LMHCA, NCC
• Kaitlyn Leeanne Hollingshead
• Holman Health (Dr. Alice Holman)

• Primary Care Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Primary Care Clinic/Center in Washington

• 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.