Organization Active NPI

Personalized Health, LLC

  • Clinic/Center
  • Seattle, WA
National Provider Identifier
1417582255
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PERSONALIZED HEALTH, LLC
Practice address
7136 MLK Jr Way S Ste 204
Seattle, WA 98118-3526
Phone
(503) 703-7422
Fax
(206) 362-3444
NPI assigned
Mar 11, 2020
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Kevin John Martin, DCNPI 1417179607
Title
Owner
Phone
(206) 362-3344

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7136 MLK Jr Way S Ste 204
Seattle, WA 98118-3526

Mailing address

7136 MLK Jr Way S Ste 204
Seattle, WA 98118-3526
Phone (503) 703-7422

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1417582255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 MLK JR WAY S STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183526",
            "telephone_number": "503-703-7422",
            "fax_number": "206-362-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 MLK JR WAY S STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183526",
            "telephone_number": "503-703-7422",
            "fax_number": "206-362-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-362-3344",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.