Stellina Natural Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

STELLINA NATURAL MEDICINE

Practice address

12911 120TH Ave NE Ste E50
Kirkland, WA 98034-3046

Phone

(425) 820-7700

Fax

(425) 820-7707

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Vivian Sovran, NDNPI 1053596981

Title

Owner

Phone

(206) 321-1587

Specialties & licenses 2

Addresses

Other names 1

• Vivian Sovran ND Doing business as

Practitioners 1

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

• Vivian Luciana Sovran, N.D.

  • Naturopath
  • Kirkland, WA
  • NPI 1053596981
  NPD Authorized official

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1760050900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE E50",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343046",
            "telephone_number": "425-820-7700",
            "fax_number": "425-820-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE E50",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343046",
            "telephone_number": "425-820-7700",
            "fax_number": "425-820-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLINA NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "SOVRAN",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-321-1587",
        "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": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivian Sovran ND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stanton H Hall DDS
• Maureen Stanton, BSN RN
• Shannon Starkweather
• Rachel Haws Starrin
• Stat Medical, Inc.
• Debra M Stemmerman, M.D.
• Jeffrey D Stepanian, PAC
• Liana Stepanyan
• Massoud Stephane, MD
• Stephen Hyde MD

• Primary Care Clinic/Center in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.