Active NPI
Foster Wellness
- Acupuncturist
- Seattle, WA
National Provider Identifier
1215273677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC60114046
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC60114046 | WA | Primary |
| Massage Therapist | 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 DirectoryLocations
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.
-
- Acupuncturist
- Seattle, WA
- NPI 1801124474
-
- Acupuncturist
- Tacoma, WA
- NPI 1245828649
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.