NPIMap

Organization Active NPI

Great Forest Medicine

  • Clinic/Center
  • Seattle, WA
National Provider Identifier
1497295521
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREAT FOREST MEDICINE
Practice address
5609 2ND Ave NW
Seattle, WA 98107-2015
Phone
(206) 305-8709
NPI assigned
Mar 8, 2017
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Jonathan IrvinNPI 1427569052
Title
East Asian Medicine Practitioner
Phone
(206) 305-8709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

5609 2ND Ave NW
Seattle, WA 98107-2015

Mailing address

5609 2ND Ave NW
Seattle, WA 98107-2015
Phone (206) 305-8709

National Provider Directory

National Provider Directory
Tax ID family
Cape Cod Anesthesia Associates456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1497295521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 2ND AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072015",
            "telephone_number": "206-305-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 2ND AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072015",
            "telephone_number": "206-305-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT FOREST MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EAST ASIAN MEDICINE PRACTITIONER",
        "authorized_official_telephone_number": "206-305-8709"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "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 8, 2017; 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.