Organization Active NPI

Amour de Soi Wellness and Spa, PLLC

  • Health Maintenance Organization
  • Seattle, WA
National Provider Identifier
1568800167
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
NT60309899 Issued in WA
Legal business name
AMOUR DE SOI WELLNESS AND SPA, PLLC
Practice address
1836 Westlake Ave N
Suite 106
Seattle, WA 98109-2755
Phone
(206) 334-1433
NPI assigned
Jun 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Dr. Alice Fong, ND, LMP, CC, CHT
Title
Owner
Phone
(206) 334-1433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NT60309899 WA Primary

Addresses

Primary practice location

1836 Westlake Ave N
Suite 106
Seattle, WA 98109-2755

Mailing address

1836 Westlake Ave N
Suite 106
Seattle, WA 98109-2755
Phone (206) 334-1433

Other names 1

  • Amour de Soi Wellness and Spa Doing business as

National Provider Directory

National Provider Directory

Locations

1836 Westlake Ave N
Ste 106
Seattle, WA 98109
Phone (206) 334-1433

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1568800167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 WESTLAKE AVE N",
            "address_2": "SUITE 106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092755",
            "telephone_number": "206-334-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 WESTLAKE AVE N",
            "address_2": "SUITE 106",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092755",
            "telephone_number": "206-334-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMOUR DE SOI WELLNESS AND SPA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-334-1433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LMP, CC, CHT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "NT60309899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amour de Soi Wellness and Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 6, 2013; 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.