Organization Active NPI

Ayu Natural Medicine Clinic

  • Multi-Specialty Clinic/Center
  • Seattle, WA
National Provider Identifier
1710100268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
AYU NATURAL MEDICINE CLINIC
Practice address
819 NE 65TH St
Seattle, WA 98115-5539
Phone
(206) 729-9999
Fax
(206) 729-0164
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Psalm Renee Pollock
Title
Office Manager
Phone
(206) 729-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

819 NE 65TH St
Seattle, WA 98115-5539

Mailing address

819 NE 65TH St
Seattle, WA 98115-5539
Phone (206) 729-9999

Other names 1

  • Kerala Ayurveda Academy & Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

819 NE 65th St
Seattle, WA 98115
Phone (206) 729-9999

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710100268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155539",
            "telephone_number": "206-729-9999",
            "fax_number": "206-729-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155539",
            "telephone_number": "206-729-9999",
            "fax_number": "206-729-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYU NATURAL MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "PSALM",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "206-729-9999",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerala Ayurveda Academy & Clinic",
            "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 Aug 22, 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.