Organization Active NPI

Wellness Lab

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1538676598
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00038763 Issued in WA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.