Raven Natural Health PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

RAVEN NATURAL HEALTH PLLC

Practice address

5401 Leary Ave NW Ste 204
Seattle, WA 98107-4070

Phone

(206) 297-6013

NPI assigned

Jan 21, 2019

Organization subpart

No

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

Authorized official

Name

Brendon Fegan, LACNPI 1336616929

Title

Owner, Acupuncturist

Phone

(734) 904-2045

Specialties & licenses 1

Addresses

Other names 2

• Brendon Fegan LAc Doing business as
• Rebel Med NW Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brendon Fegan, EAMP, LAC.

  • Acupuncturist
  • Seattle, WA
  • NPI 1336616929
  NPD Authorized official

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1588138762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 NE 65TH ST STE 365",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 LEARY AVE NW STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074070",
            "telephone_number": "206-297-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN NATURAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "FEGAN",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_title_or_position": "OWNER,  ACUPUNCTURIST",
        "authorized_official_telephone_number": "734-904-2045",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brendon Fegan LAc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brendon Fegan LAc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rebel Med NW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raval DDS MSD PLLC
• Sejal Raval, PA-C
• Ali Cyrus Ravanpay
• Lelach Rave, M.D.
• Harmony Raveler, LMFTA
• Ravenna Center for Neuropsychiatry, PLLC
• Ravenna Physical Therapy LLC
• Lindsay Jean Ravensong, LMP
• Megan Raventos, 101Y00000X
• Raelyn Marie Raver, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.