Organization Active NPI

Elia Wellness Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1275286098
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ELIA WELLNESS SERVICES LLC
Practice address
14205 SE 36TH St Ste 100
Bellevue, WA 98006-1553
Phone
(206) 800-0593
Fax
(206) 649-0948
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Ndidiamaka C. Jasmine Njaka, PMHNP-BC
Title
Nurse Practitioner
Phone
(206) 800-0593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

14205 SE 36TH St Ste 100
Bellevue, WA 98006-1553

Mailing address

14205 SE 36TH St Ste 100
Bellevue, WA 98006-1553
Phone (206) 800-0593

Other practice location 1

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone (206) 743-2534

Other practice location 2

809 Olive Way Apt 2104
Seattle, WA 98101-1999
Phone (206) 743-2534

National Provider Directory

National Provider Directory

Locations

12822 SE 32nd St
#2
Bellevue, WA 98005

Practitioners & affiliated clinicians

Practitioners 1

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": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1275286098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 SE 36TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061553",
            "telephone_number": "206-800-0593",
            "fax_number": "206-649-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 SE 36TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061553",
            "telephone_number": "206-800-0593",
            "fax_number": "206-649-0948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Elliott Ave W Ste 500",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981194292",
            "country_code": "US",
            "telephone_number": "206-743-2534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 Olive Way Apt 2104",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011999",
            "country_code": "US",
            "telephone_number": "206-743-2534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIA WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "NJAKA",
        "authorized_official_first_name": "NDIDIAMAKA",
        "authorized_official_middle_name": "C. JASMINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "206-800-0593",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Aug 23, 2022; 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.