NPIMap

Organization Active NPI

Neurevolution Medicine, LLC

  • Naturopath
  • Bellevue, WA
National Provider Identifier
1235519349
Registry record updated Feb 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60555967 Issued in WA
Legal business name
NEUREVOLUTION MEDICINE, LLC
Practice address
1300 114TH Ave SE
Suite 106
Bellevue, WA 98004-6942
Phone
(425) 780-6638
Fax
(844) 854-4660
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2017

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

Authorized official

Name
Dr. Richard Davis Batson, NDNPI 1437533023
Title
Registered Agent
Phone
(425) 780-6638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60555957 WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60555967 WA Primary

Addresses

Primary practice location

1300 114TH Ave SE
Suite 106
Bellevue, WA 98004-6942

Mailing address

1300 114TH Ave SE
Suite 106
Bellevue, WA 98004-6942
Phone (425) 780-6638

Other names 1

  • Dr. Karen Parker, ND, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neurevolution Medicine LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 114th Ave SE
Ste 106
Bellevue, WA 98004
Phone (425) 780-6638

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": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486252800000",
    "number": "1235519349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 114TH AVE SE",
            "address_2": "SUITE 106",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046942",
            "telephone_number": "425-780-6638",
            "fax_number": "844-854-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 114TH AVE SE",
            "address_2": "SUITE 106",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046942",
            "telephone_number": "425-780-6638",
            "fax_number": "844-854-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUREVOLUTION MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2017-02-05",
        "status": "A",
        "authorized_official_last_name": "BATSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "425-780-6638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60555957",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60555967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Karen Parker, ND, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 5, 2017; 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.