Gaia Med PLLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

60245488 Issued in WA

Legal business name

GAIA MED PLLC

Practice address

5122 25TH Ave NE
Seattle, WA 98105

Phone

(206) 900-9798

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Eva Kozura, ND, RD, EAMP

Title

Director

Phone

(206) 508-1300

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17991/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1407345804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 25TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054121",
            "telephone_number": "206-900-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 25TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-900-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIA MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "KOZURA",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-508-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, RD, EAMP"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "918610",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60245607",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "60245488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2MP000004632060",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercedes Gagliardi, LSWAIC
• Marie-Sarah Gagne Brosseau, M.D.
• Suzanne M. Gagnet, ARNP
• Amanda Renee Gagnon, CCC-SLP
• Isabelle Gahard
• Anne D Gaier, OT
• Erin Leigh Gaiko, LMP
• Cheri D. Gail, ARNP
• Amelia Gailey, LAC, EAMP
• Dean Gainer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.