Eva Shen Sofia, ND, RD, LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NATU.NT.60245488 Issued in WA

Practice address

5122 25TH Ave NE
Seattle, WA 98105-4121

Phone

(206) 524-5088

Fax

(206) 524-5089

NPI assigned

Aug 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Eva Shen Kozura Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: eva.kozura.1@17991.direct.athenahealth.com

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1710267547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 25TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054121",
            "telephone_number": "206-508-1300",
            "fax_number": "206-508-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 25TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054121",
            "telephone_number": "206-524-5088",
            "fax_number": "206-524-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFIA",
        "first_name": "EVA",
        "middle_name": "SHEN",
        "name_prefix": "Dr.",
        "credential": "ND, RD, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "918610",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60245607",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NATU.NT.60245488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QMP000004632075",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@gaiamed.org",
            "affiliation": "N",
            "endpointDescription": "Clinic HIPAA Compliant Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5122 25th Ave NE",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981054121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "KOZURA",
            "middle_name": "SHEN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Jonelle Soelling, DNP, ARNP, FNP-BC
• Thomas Modad Soeprono, M.D.
• Maria-Jose Soerens, M.A., LMHC
• Angela Soest
• Sofavi Home Health LLC
• Joseph Thomas Sofia, MD
• Rachael Sofian
• Cynthia Softli
• William Thomas Sogge
• Christine Sogn, LICSW, SUDP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.