Active NPI
Deichert Integrative Health LLC
- Family Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1235406877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60178142
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bellingham, WA
- NPI 1003904061
-
- Gerontology Nurse Practitioner
- Bellevue, WA
- NPI 1689976813
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.