Mind Body Wellness Network

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60343948 Issued in WA

Legal business name

MIND BODY WELLNESS NETWORK

Practice address

15600 Redmond Way Ste 303
Redmond, WA 98052-3862

Phone

(425) 558-5000

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Karla K Whitbeck, LMP

Title

Owner

Phone

(206) 643-8345

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1265880843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 161ST AVE NE # 398",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523807",
            "telephone_number": "206-643-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 REDMOND WAY STE 303",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523862",
            "telephone_number": "425-558-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY WELLNESS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "WHITBECK",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-643-8345",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60343948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Adlai Miller IV, CCC-SLP
• Corynn Miller
• Daniel Miller, M.A. ; MHP; LMHC
• Jeannette M Miller, ARNP
• Sydney Rose Miller
• Mindful Coaching With Sara
• Mindful Senior Care LLC
• Minimed Distribution Corp.
• Michele Elizabeth Mishra, LICSWA
• Neal H. Mizushima, L.M.P.

• Specialist in Redmond, WA
• Providers in Redmond, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.