Village Integrative Care, P.S.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VILLAGE INTEGRATIVE CARE, P.S.

Practice address

6300 9TH Ave NE Ste 300
Seattle, WA 98115-8516

Phone

(206) 363-5555

Fax

(206) 363-5533

NPI assigned

Aug 29, 2011

Organization subpart

Yes

Parent organization

VILLAGEAs reported in NPPES

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

Authorized official

Name

Dr. Tara Johnie Shelby, ND LM

Title

Executive Director

Phone

(205) 363-5555

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1558642017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 9TH AVE NE STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158516",
            "telephone_number": "206-363-5555",
            "fax_number": "206-363-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 9TH AVE NE STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158516",
            "telephone_number": "206-363-5555",
            "fax_number": "206-363-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE INTEGRATIVE CARE, P.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "SHELBY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "JOHNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-363-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND LM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangeline K Villa, MD
• Jennifer Villa, PHD
• Marie Luz Villa, MD
• Enrique Carlos Villacres, MD
• Maria Del Carmen Villafuerte Anguiano
• Village Physical Therapy, LLC
• Village Witch Therapy PLLC
• Vanessa Villaluz, CAA
• Amanda Sue Muyargas Villanueva, PTA
• Betzaida Villanueva

• Family Medicine Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.