NPIMap

Organization Active NPI

Vital Family Medicine

Doing business as Natural Medicine of Seattle

  • Primary Care Clinic/Center
  • Seattle, WA
National Provider Identifier
1619364718
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
NT60554923 Issued in WA
Legal business name
VITAL FAMILY MEDICINE
Doing business as
Natural Medicine of Seattle
Practice address
3513 NE 45TH St
Suite 2 West
Seattle, WA 98105-5660
Phone
(206) 535-7527
Fax
(888) 710-4862
NPI assigned
Apr 16, 2015
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Dr. Margie S Ikeda, NDNPI 1275711004
Title
Owner
Phone
(206) 535-7527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NT60554923 WA Primary

Addresses

Primary practice location

3513 NE 45TH St
Suite 2 West
Seattle, WA 98105-5660

Mailing address

3513 NE 45TH St
Suite 2 West
Seattle, WA 98105-5660
Phone (206) 535-7527

Other names 1

  • Natural Medicine of Seattle Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Natural Medicine of Seattle2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3513 NE 45th St
Ste 2W
Seattle, WA 98105
Phone (206) 523-3820

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1619364718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 NE 45TH ST",
            "address_2": "SUITE 2 WEST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055660",
            "telephone_number": "206-535-7527",
            "fax_number": "888-710-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 NE 45TH ST",
            "address_2": "SUITE 2 WEST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055660",
            "telephone_number": "206-535-7527",
            "fax_number": "888-710-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "IKEDA",
        "authorized_official_first_name": "MARGIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-535-7527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "NT60554923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural Medicine of Seattle",
            "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 Apr 16, 2015; 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.