Organization Active NPI

Revive Low T, LLC

  • Naturopath
  • Seattle, WA
National Provider Identifier
1558700856
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
REVIVE LOW T, LLC
Practice address
4500 9TH Ave NE # 80
Seattle, WA 98105-4737
Phone
(206) 960-4770
Fax
(866) 998-1837
NPI assigned
Jun 19, 2013
Last updated
Feb 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Ms. Elisa Aarvik
Title
Manager
Phone
(206) 960-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

4500 9TH Ave NE # 80
Seattle, WA 98105-4737

Mailing address

4500 9TH Ave NE # 80
Seattle, WA 98105-4737
Phone (206) 960-4770

National Provider Directory

National Provider Directory
Tax ID family
Revive Low T LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4500 9th Ave NE
#80
Seattle, WA 98105
Phone (206) 960-4770

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1558700856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 9TH AVE NE # 80",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054737",
            "telephone_number": "206-960-4770",
            "fax_number": "866-998-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 9TH AVE NE # 80",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054737",
            "telephone_number": "206-960-4770",
            "fax_number": "866-998-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE LOW T, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "AARVIK",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-960-4770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "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 Feb 21, 2019; 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.