Organization Active NPI

Rejuviaiv, PLLC

  • Naturopath
  • Lynnwood, WA
National Provider Identifier
1376410415
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
REJUVIAIV, PLLC
Practice address
16521 13TH Ave W Ste 107
Lynnwood, WA 98037-8530
Phone
(425) 780-9086
Fax
(425) 599-1984
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Dr. Susan Hodge Mueller, NDNPI 1578789863
Title
Wonder
Phone
(425) 780-9086

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
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

16521 13TH Ave W Ste 107
Lynnwood, WA 98037-8530

Mailing address

16521 13TH Ave W Ste 107
Lynnwood, WA 98037-8530
Phone (425) 780-9086

National Provider Directory

National Provider Directory

Locations

16521 13th Ave W
Ste 107
Lynnwood, WA 98037
Phone (425) 780-9086

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": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1376410415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16521 13TH AVE W STE 107",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378530",
            "telephone_number": "425-780-9086",
            "fax_number": "425-599-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16521 13TH AVE W STE 107",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980378530",
            "telephone_number": "425-780-9086",
            "fax_number": "425-599-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVIAIV, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "HODGE",
        "authorized_official_title_or_position": "WONDER",
        "authorized_official_telephone_number": "425-780-9086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.