Organization Active NPI

Neuroveda, PLLC

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1700255502
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEUROVEDA, PLLC
Practice address
1700 Westlake Ave N
Suite 100
Seattle, WA 98109-6212
Phone
(206) 379-1213
Fax
(206) 492-2003
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Gillian Ehrlich, ARNP DNP
Title
Owner
Phone
(206) 379-1213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X 603337701 WA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1700 Westlake Ave N
Suite 100
Seattle, WA 98109-6212

Mailing address

1700 Westlake Ave N
Suite 100
Seattle, WA 98109-6212
Phone (206) 379-1213

Other names 1

  • Integrative Child and Adult Neurology Former legal business name

National Provider Directory

National Provider Directory

Locations

1818 Westlake Ave N
Ste 106
Seattle, WA 98109
Phone (206) 657-7184

1700 Westlake Ave N
Ste 100
Seattle, WA 98109
Phone (206) 379-1213

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1700255502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WESTLAKE AVE N",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096212",
            "telephone_number": "206-379-1213",
            "fax_number": "206-492-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTLAKE AVE N",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981096212",
            "telephone_number": "206-379-1213",
            "fax_number": "206-492-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROVEDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2025-06-16",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-379-1213",
        "authorized_official_credential": "ARNP DNP"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "WA",
            "license": "603337701",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Child and Adult Neurology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 16, 2025; 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.