Northwest Integrative Medicine, PLLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

NORTHWEST INTEGRATIVE MEDICINE, PLLC

Practice address

11520 NE 20TH St
Bellevue, WA 98004-3005

Phone

(425) 999-4484

Fax

(425) 999-4484

NPI assigned

Oct 19, 2011

Last updated

Mar 6, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHWEST INTEGRATIVE MEDICINE, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Geoffrey M Lecovin, DC, ND, LACNPI 1497868129

Title

Owner

Phone

(425) 999-4484

Specialties & licenses 4

Addresses

Tax ID family

North West Integrative Medicine2 organizations share this tax ID, including this one

Part of

North West Integrative Medicine

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North West Integrative Medicine

  • Naturopath
  • Bellevue, WA
  • NPI 1740342054
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geoffrey M Lecovin, DC, ND, LAC

  • Naturopath
  • Kirkland, WA
  • NPI 1497868129
  Authorized official Same address or phone

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1790060994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 NE 20TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043005",
            "telephone_number": "425-999-4484",
            "fax_number": "425-999-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 NE 20TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043005",
            "telephone_number": "425-999-4484",
            "fax_number": "425-999-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INTEGRATIVE MEDICINE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST INTEGRATIVE MEDICINE, PLLC",
        "enumeration_date": "2011-10-19",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "LECOVIN",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-999-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, ND, LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.