Organization Active NPI

Impact Health Naturopathic Clinic, PLLC

Doing business as Impact Health Naturopathic Clinic

  • Naturopath
  • Everett, WA
National Provider Identifier
1750924031
Registry record updated Oct 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
IMPACT HEALTH NATUROPATHIC CLINIC, PLLC
Doing business as
Impact Health Naturopathic Clinic
Practice address
11419 19TH Ave SE Ste A108
Everett, WA 98208-5120
Phone
(206) 465-4415
NPI assigned
Oct 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2019

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

Authorized official

Name
Dr. Liubov Evmeshkina, NDNPI 1083257232
Title
Owner
Phone
(206) 465-4415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

11419 19TH Ave SE Ste A108
Everett, WA 98208-5120

Mailing address

17424 14TH Dr SE
Bothell, WA 98012-6499

Other names 1

  • Impact Health Naturopathic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

11419 19th Ave SE
Ste A108
Everett, WA 98208
Phone (206) 465-4415

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": "1571443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571443200000",
    "number": "1750924031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17424 14TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980126499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11419 19TH AVE SE STE A108",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085120",
            "telephone_number": "206-465-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HEALTH NATUROPATHIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-19",
        "last_updated": "2019-10-19",
        "status": "A",
        "authorized_official_last_name": "EVMESHKINA",
        "authorized_official_first_name": "LIUBOV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-465-4415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Health Naturopathic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; 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.