Atha Wellness and Dermatology

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ATHA WELLNESS AND DERMATOLOGY

Doing business as

Atha Wellness

Practice address

607 Market St Ste a
Kirkland, WA 98033-5404

Phone

(425) 305-3736

NPI assigned

Feb 24, 2020

Organization subpart

No

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

Authorized official

Name

Anne Elizabeth Gordon, EAMP, LAC

Title

Owner

Phone

(425) 305-3736

Specialties & licenses 1

Addresses

Other names 1

• Atha Wellness Doing business as

Locations

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1841824380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 MARKET ST STE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335404",
            "telephone_number": "425-305-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 MARKET ST STE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335404",
            "telephone_number": "425-305-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHA WELLNESS AND DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-305-3736",
        "authorized_official_credential": "EAMP, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atha Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.