NPIMap

Organization Active NPI

Centered in Wellness, LLC

  • Non-Pharmacy Dispensing Site
  • Kirkland, WA
National Provider Identifier
1467842161
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD00040426 Issued in WA
Legal business name
CENTERED IN WELLNESS, LLC
Practice address
12815 120TH Ave NE
Suite a
Kirkland, WA 98034-3003
Phone
(425) 898-4732
NPI assigned
Feb 2, 2015
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTERED IN WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Cynthia M. Keller, M.D.NPI 1609868538
Title
Owner
Phone
(425) 898-4732

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
Non-Pharmacy Dispensing Site 332900000X MD00040426 WA Primary

Addresses

Primary practice location

12815 120TH Ave NE
Suite a
Kirkland, WA 98034-3003

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 943-4180

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2084600Centered in Wellness12815 120TH Ave NE Ste a, Kirkland, WA 98034Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Part of
Centered in Wellness LLC

Practitioners & affiliated clinicians

Practitioners 7

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": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1467842161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12815 120TH AVE NE",
            "address_2": "SUITE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343003",
            "telephone_number": "425-898-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED IN WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTERED IN WELLNESS, LLC",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-898-4732",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "MD00040426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.