NPIMap

Organization Active NPI

Ezer Art Studio LLC

  • Art Therapist
  • Bothell, WA
National Provider Identifier
1316636400
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Legal business name
EZER ART STUDIO LLC
Practice address
17806 30TH Dr SE
Bothell, WA 98012-6654
Phone
(206) 355-5338
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Mrs. Hyunmi KimNPI 1760184048
Title
Executor
Phone
(206) 355-5338

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 221700000X Primary

Addresses

Primary practice location

17806 30TH Dr SE
Bothell, WA 98012-6654

Mailing address

17806 30TH Dr SE
Bothell, WA 98012-6654

National Provider Directory

National Provider Directory

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": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1316636400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17806 30TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17806 30TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126654",
            "telephone_number": "206-355-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZER ART STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUNMI",
        "authorized_official_title_or_position": "EXECUTOR",
        "authorized_official_telephone_number": "206-355-5338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.