Individual provider Active NPI

Emily Sara Bender, N.D., L.AC.

  • Naturopath
  • Bellevue, WA
National Provider Identifier
1720383375
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60185817 Issued in WA
Practice address
4205 148TH Ave NE
Suite 103
Bellevue, WA 98007-7114
Phone
(425) 822-0602
Fax
(425) 822-2082
NPI assigned
Jan 12, 2011
Last updated
Jan 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60176239 WA
Naturopath 175F00000X NT60185817 WA Primary

Addresses

Primary practice location

4205 148TH Ave NE
Suite 103
Bellevue, WA 98007-7114

Mailing address

4205 148TH Ave NE
Suite 103
Bellevue, WA 98007-7114
Phone (425) 822-0602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC60176239WAMDAcupuncturist
NT60185817WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1720383375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 148TH AVE NE",
            "address_2": "SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980077114",
            "telephone_number": "425-822-0602",
            "fax_number": "425-822-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 148TH AVE NE",
            "address_2": "SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980077114",
            "telephone_number": "425-822-0602",
            "fax_number": "425-822-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "EMILY",
        "middle_name": "SARA",
        "credential": "N.D., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60176239",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60185817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.