Pegah Rezvani, LMT

Primary specialty

NaturopathTaxonomy code 175F00000X

License

70113885 Issued in WA

Practice address

8012 15TH Ave NW
Seattle, WA 98117-3601

Phone

(206) 708-1212

NPI assigned

Feb 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1578216339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23828 CARTER RD # B",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219408",
            "telephone_number": "805-312-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 15TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173601",
            "telephone_number": "206-708-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZVANI",
        "first_name": "PEGAH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "70113885",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "61206118",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Seattle",
            "affiliation": "N",
            "address_1": "8012 15th Ave NW",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981173601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Torkan Rezazadehousalou
• Naomi Rezene
• Kimberly Rezentes
• Samantha Jill Reznik, PHD
• Elizabeth Alexandra Reznikov, DO PHD
• Elham Rezvanian
• Soyoon Asia Rhee, RDH
• Connie M Rhie, ARNP, DNP
• Edwin Y Rhim, MD
• Jonathan A Rhim

• Naturopath in Seattle, WA
• Providers in Seattle, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.