Organization Active NPI

Foster Wellness

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1215273677
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60114046 Issued in WA
Legal business name
FOSTER WELLNESS
Practice address
4300 36TH Ave W Ste 130
Seattle, WA 98199-1675
Phone
(206) 856-4096
Fax
(206) 267-9491
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Greg Lewerenz, EAMP, LMP
Title
Owner/Practitioner
Phone
(206) 856-4096

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60114046 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00023193 WA

Addresses

Primary practice location

4300 36TH Ave W Ste 130
Seattle, WA 98199-1675

Mailing address

4300 36TH Ave W Ste 130
Seattle, WA 98199-1675
Phone (206) 856-4096

National Provider Directory

National Provider Directory

Locations

4300 36th Ave W
Ste 130
Seattle, WA 98199
Phone (206) 856-4096

Practitioners & affiliated clinicians

Practitioners 2

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": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1215273677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 36TH AVE W STE 130",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991675",
            "telephone_number": "206-856-4096",
            "fax_number": "206-267-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 36TH AVE W STE 130",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991675",
            "telephone_number": "206-856-4096",
            "fax_number": "206-267-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "LEWERENZ",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "206-856-4096",
        "authorized_official_credential": "EAMP, LMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60114046",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023193",
            "primary": false
        }
    ],
    "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 Dec 12, 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.