NPIMap

Organization Active NPI

Whole Life Medicine PS

Doing business as Whole Life Medicine

  • Naturopath
  • Kirkland, WA
National Provider Identifier
1689904054
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
WHOLE LIFE MEDICINE PS
Doing business as
Whole Life Medicine
Practice address
13126 120TH Ave NE
Kirkland, WA 98034-3014
Phone
(425) 398-9355
Fax
(425) 453-2827
NPI assigned
Jan 7, 2010
Last updated
Sep 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Authorized official

Name
Dr. Serena Matea McKenzie, NDNPI 1407922263
Title
Naturopathic Physician/Owner
Phone
(425) 398-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NT00001309 WA
Naturopath 175F00000X NU Primary

Addresses

Primary practice location

13126 120TH Ave NE
Kirkland, WA 98034-3014

Mailing address

13126 120TH Ave NE
Kirkland, WA 98034-3014
Phone (425) 398-9355

Other names 1

  • Whole Life Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2175707Whole Life Medicine, PS13126 120TH Ave NE, Kirkland, WA 98034Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

12900 NE 180th St
Ste 100
Bothell, WA 98011
Phone (425) 398-9355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20654/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1689904054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13126 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343014",
            "telephone_number": "425-398-9355",
            "fax_number": "425-453-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13126 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343014",
            "telephone_number": "425-398-9355",
            "fax_number": "425-453-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE MEDICINE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "MATEA",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "425-398-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "NT00001309",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Life Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whole Life Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.