NPIMap

Organization Active NPI

Seattle Natural Family & Sports Medicine PLLC

  • Naturopath
  • Seattle, WA
National Provider Identifier
1720496151
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
60245488 Issued in WA
Legal business name
SEATTLE NATURAL FAMILY & SPORTS MEDICINE PLLC
Practice address
5122 25TH Ave NE
Seattle, WA 98105-4121
Phone
(206) 524-5088
Fax
(206) 524-5089
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Dr. Eva Kozura, ND, RD, LAC
Title
Physician
Phone
(206) 524-5088

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 918610 IL
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 60245607 WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 60245488 WA Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT 1151 WA

Addresses

Primary practice location

5122 25TH Ave NE
Seattle, WA 98105-4121

Mailing address

5122 25TH Ave NE
Seattle, WA 98105-4121
Phone (206) 524-5088

Other names 1

  • The Vitality Center PLLC Former legal business name

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12187/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1720496151",
    "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": "206-524-5088",
            "fax_number": "206-524-5089"
        },
        {
            "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": {
        "organization_name": "SEATTLE NATURAL FAMILY & SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "KOZURA",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-524-5088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, RD, LAC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "918610",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60245607",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "60245488",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 1151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vitality Center PLLC",
            "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 Jul 29, 2014; 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.