Healing Ponds Northwest LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60076566 Issued in WA

Legal business name

HEALING PONDS NORTHWEST LLC

Practice address

2324 California Ave SW
Seattle, WA 98116-2403

Phone

(206) 682-0676

Fax

(206) 623-0397

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Alicia Xenia Pond, EAMPNPI 1093881179

Title

Owner

Phone

(206) 795-6462

Specialties & licenses 3

Addresses

Other names 1

• Sports Medicine Northwest Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Skylar Winston Pond, D.C.

  • Chiropractor
  • Seattle, WA
  • NPI 1043451743
  Medicare reassignment Care Compare group NPD
• Elia Jessica D'Auria, D.C

  • Chiropractor
  • Tamarac, FL
  • NPI 1780037226

  WA

  Medicare reassignment Care Compare group NPD
• Britni Everett, D.C.

  • Chiropractor
  • Bothell, WA
  • NPI 1417385345
  Medicare reassignment NPD
• Alicia Xenia Pond, E.A.M.P.

  • Acupuncturist
  • Seattle, WA
  • NPI 1093881179
  NPD (past) Authorized official
• Jennifer Evenson, LMP

  • Acupuncturist
  • Seattle, WA
  • NPI 1851709505
  NPD (past)
• Angela Kuhn, MS, LMP, RDN

  • Registered Dietitian
  • Seattle, WA
  • NPI 1760857262

  Massage Therapist

  NPD (past)
• Imani Joy Pyatt

  • Massage Therapist
  • Seattle, WA
  • NPI 1013446483
  NPD (past)
• Erica Sherman, LMT

  • Massage Therapist
  • Seattle, WA
  • NPI 1962942730
  NPD (past)

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1326316928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162403",
            "telephone_number": "206-682-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162403",
            "telephone_number": "206-682-0676",
            "fax_number": "206-623-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PONDS NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "XENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-795-6462",
        "authorized_official_credential": "EAMP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60076566",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": "AC60091482",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Medicine Northwest",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sports Medicine Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Vincent Healey III, MD
• Healing Acupuncture and Herbal Medicine
• Healing Edge Medical Group Wa Inc PC
• Healing Guide Therapy Services
• Healing Journeys Counseling, PLLC
• Healing Rose Bodywork PLLC
• Healing Tortoise
• Healing Watters PLLC
• Healing Wellness & Spa Center
• Health Discovery Acupuncture & Herbs LLC

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.