Active NPI
Wellness Lab
- Family Medicine Physician
- Seattle, WA
National Provider Identifier
1538676598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00038763
- Legal business name
- WELLNESS LAB
- Practice address
- 5410 California Ave SW Ste 202
Seattle, WA 98136-1562 - Phone
- (206) 353-7673
- NPI assigned
- Dec 29, 2017
- Last updated
- Mar 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Caroline Rose, MD
- Title
- Owner
- Phone
- (206) 353-7673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00038763 | WA | Primary |
Addresses
Primary practice location
5410 California Ave SW Ste 202
Seattle, WA 98136-1562
Mailing address
5410 California Ave SW Ste 202
Seattle, WA 98136-1562
Phone (206) 353-7673
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520467200000",
"number": "1538676598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 CALIFORNIA AVE SW STE 202",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361562",
"telephone_number": "206-353-7673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 CALIFORNIA AVE SW STE 202",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361562",
"telephone_number": "206-353-7673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS LAB",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-29",
"last_updated": "2018-03-08",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-353-7673",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00038763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Brandee Wellman
- Jodi Wellman, LMHC
- Wellness by Design PLLC (Chiropractic Wellness Center at Capitol Hill)
- Wellness for Life Chiropractic, Inc.
- Wellness Home LLC
- Wellness Life Acupuncture
- Wellness Occupational Therapy LLC (Holistic Orthopedics)
- Wellnite Medical Group PA
- Wellpsyche Seattle PC
- Wells Integrative Medicine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.