Organization Active NPI

Deichert Integrative Health LLC

  • Family Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1235406877
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60178142 Issued in WA
Legal business name
DEICHERT INTEGRATIVE HEALTH LLC
Practice address
12600 SE 38TH St Ste 130
Bellevue, WA 98006
Phone
(425) 679-6056
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
David Deichert, ARNP
Title
Owner
Phone
(206) 795-5760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP60178142 WA Primary

Addresses

Primary practice location

12600 SE 38TH St Ste 130
Bellevue, WA 98006

Mailing address

20624 SE 119TH St
Issaquah, WA 98027-5402
Phone (206) 795-5760

Other practice location 1

3933 S Pearl St
#6
Seattle, WA 98118-1900
Phone (206) 552-6992

National Provider Directory

National Provider Directory

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": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1235406877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20624 SE 119TH ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275402",
            "telephone_number": "206-795-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SE 38TH ST STE 130",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "425-679-6056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3933 S Pearl St",
            "address_2": "#6",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981181900",
            "country_code": "US",
            "telephone_number": "206-552-6992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEICHERT INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "DEICHERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-795-5760",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60178142",
            "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 Dec 27, 2018; 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.