Simon Wellness LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

SIMON WELLNESS LLC

Practice address

4500 9TH Ave NE
Suite 300
Seattle, WA 98105-4737

Phone

(206) 524-0863

NPI assigned

Apr 12, 2012

Organization subpart

Yes

Parent organization

SIMON WELLNESS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Michelle Simon, ND

Title

Principal

Phone

(206) 524-0863

Specialties & licenses 1

Addresses

Tax ID family

Simon Wellness LLC2 organizations share this tax ID, including this one

Part of

Simon Wellness LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Healthwise Integrative Medicine

  • Naturopath
  • Seattle, WA
  • NPI 1144351222
  NPD tax ID

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1508123753",
    "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": "310-474-9809",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 9TH AVE NE",
            "address_2": "SUITE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054737",
            "telephone_number": "206-524-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIMON WELLNESS LLC",
        "enumeration_date": "2012-04-12",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "206-524-0863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Neary Simnowitz, LMP
• Ariel Nova Simnowitz, LMP
• Porscha Kazmierczak Simoes, LICSW
• Simon Connor
• Simon Livingstone, M.D. P.L.L.C.
• Andrew Johan Simon, ND
• Dyan Meredith Simon, M.D.
• Ednea A. Simon
• Elizabeth Simon, ARNP
• Ella Kathleen Simon, LMHCA

• Non-Pharmacy Dispensing Site in Seattle, WA
• Providers in Seattle, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.