Whole Family Clinic, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

WHOLE FAMILY CLINIC, LLC

Practice address

1530 140TH Ave NE
Suite 101
Bellevue, WA 98005-4574

Phone

(206) 295-3855

NPI assigned

Apr 16, 2013

Organization subpart

Yes

Parent organization

WHOLE FAMILY CLINIC, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Dina M. Kisseleva, ND

Title

Owner

Phone

(206) 295-3855

Specialties & licenses 1

Addresses

Part of

Whole Family Clinic LLC

Locations

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1154764413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 140TH AVE NE",
            "address_2": "SUITE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054574",
            "telephone_number": "206-295-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE FAMILY CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHOLE FAMILY CLINIC, LLC",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "KISSELEVA",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-295-3855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Whitener, BCBA
• Adam Whitman, DPT
• Brian Lewis Whitney, MA LMHC LMFT
• Megan Whitney, PT
• Michelle L Whitney, ARNP
• Rachel Whyte, DC
• Marissa Wichers
• Caresse Wicheta, RN
• Jenelle Christine Wicker, LMP
• Connie Anderson Wickland

• Non-Pharmacy Dispensing Site in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.