Organization Active NPI

Total Longevity Center

  • Naturopath
  • Renton, WA
National Provider Identifier
1194196659
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
TOTAL LONGEVITY CENTER
Practice address
4509 Talbot Rd S Ste 105
Renton, WA 98055-6294
Phone
(425) 264-5678
NPI assigned
Oct 9, 2015
Organization subpart
Yes
Parent organization
PREVENTIVE HEALTH MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Deanna Adler
Title
Owner
Phone
(425) 264-5678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

4509 Talbot Rd S Ste 105
Renton, WA 98055-6294

Mailing address

4509 Talbot Rd S Ste 105
Renton, WA 98055-6294

National Provider Directory

National Provider Directory
Part of
Total Longevity Center

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1194196659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 TALBOT RD S STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 TALBOT RD S STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556294",
            "telephone_number": "425-264-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LONGEVITY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREVENTIVE HEALTH MANAGEMENT",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-264-5678"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.