Organization Active NPI

Rapha Integrative Family Clinic PLLC

  • Naturopath
  • Bellevue, WA
National Provider Identifier
1538536677
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60468293 Issued in WA
Legal business name
RAPHA INTEGRATIVE FAMILY CLINIC PLLC
Practice address
1603 116TH Ave NE
Ste 111
Bellevue, WA 98004-3009
Phone
(425) 326-1668
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Jung Eun Chang, N.D.
Title
The Owner
Phone
(425) 326-1668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60468293 WA Primary

Addresses

Primary practice location

1603 116TH Ave NE
Ste 111
Bellevue, WA 98004-3009

Mailing address

1603 116TH Ave NE
Ste 111
Bellevue, WA 98004-3009
Phone (425) 326-1668

National Provider Directory

National Provider Directory
Tax ID family
Rapha Integrative Family Clinic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1603 116th Ave NE
Ste 111
Bellevue, WA 98004
Phone (425) 221-7253

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18821/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1538536677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 116TH AVE NE",
            "address_2": "STE 111",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043009",
            "telephone_number": "425-326-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 116TH AVE NE",
            "address_2": "STE 111",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043009",
            "telephone_number": "425-326-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA INTEGRATIVE FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "JUNG EUN",
        "authorized_official_title_or_position": "THE OWNER",
        "authorized_official_telephone_number": "425-326-1668",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60468293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.