NPIMap

Organization Active NPI

Red Cedar Wellness Center, PLLC

  • Non-Pharmacy Dispensing Site
  • Bellevue, WA
National Provider Identifier
1114332848
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
NT00001159 Issued in WA
Legal business name
RED CEDAR WELLNESS CENTER, PLLC
Practice address
1601 116TH Ave NE
Suite 100
Bellevue, WA 98004-3010
Phone
(425) 451-0999
NPI assigned
Jun 20, 2014
Organization subpart
Yes
Parent organization
RED CEDAR WELLNESS CENTER, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Laura A. James, N.D.NPI 1710064902
Title
Medical Director
Phone
(425) 451-0999

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NT00001159 WA Primary

Addresses

Primary practice location

1601 116TH Ave NE
Suite 100
Bellevue, WA 98004-3010

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 943-4180

National Provider Directory

National Provider Directory
Part of
Red Cedar Wellness Center PLLC

Locations

1601 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 451-0999

Practitioners & affiliated clinicians

Practitioners 3

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": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1114332848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 116TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043010",
            "telephone_number": "425-451-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CEDAR WELLNESS CENTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RED CEDAR WELLNESS CENTER, PLLC",
        "enumeration_date": "2014-06-20",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-451-0999",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "NT00001159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.