Integrative Health Institute

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00022065 Issued in WA

Legal business name

INTEGRATIVE HEALTH INSTITUTE

Doing business as

Sophia Health Institute

Practice address

18106 140TH Ave NE
Woodinville, WA 98072-4312

Phone

(425) 402-4401

Fax

(425) 402-4389

NPI assigned

Aug 24, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dietrich Klinghardt, MD

Title

Medical Director

Phone

(425) 402-4401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sophia Health Institute Doing business as

Locations

Practitioners 2

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.

• Katherine Rita Dahlgren, N.D.

  • Naturopath
  • Woodinville, WA
  • NPI 1114186046
  NPD
• Rachel Magerman, DR

  • Naturopath
  • Woodinville, WA
  • NPI 1457076689
  NPD

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1427575000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18106 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724312",
            "telephone_number": "425-402-4401",
            "fax_number": "425-402-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18106 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724312",
            "telephone_number": "425-402-4401",
            "fax_number": "425-402-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KLINGHARDT",
        "authorized_official_first_name": "DIETRICH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-402-4401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00022065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD00022065",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sophia Health Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan E Hutchinson, PT
• Sean Hwang, DDS
• Jarlo Lo Ilano, M.P.T.
• Inspiracion Consulting PLLC
• Integral Natural Medicine Inc
• Samson Manoah Irish-Lodge, LMFTA
• Ivy Mental Health, PLLC
• Ruth Esther James
• Jerald D. Bates, D.D.S., PLLC
• Gregory R Jespersen, DPM

• Family Medicine Physician in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.