NPIMap

Organization Active NPI

Eating Recovery Center of Washington

  • Medical Specialty Clinic/Center
  • Bellevue, WA
National Provider Identifier
1871044867
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
EATING RECOVERY CENTER OF WASHINGTON
Practice address
1601 114TH Ave SE
Suite #180
Bellevue, WA 98004-6950
Phone
(425) 451-1134
NPI assigned
Oct 14, 2016
Organization subpart
Yes
Parent organization
EATING RECOVERY CENTER OF WAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Marina Shepel
Title
Credentialing Manager
Phone
(206) 383-4781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1601 114TH Ave SE
Suite #180
Bellevue, WA 98004-6950

Mailing address

1601 114TH Ave SE
Suite #180
Bellevue, WA 98004-6950
Phone (425) 451-1134

National Provider Directory

National Provider Directory
Tax ID family
Eating Recovery Center of Washington10 organizations share this tax ID, including this one
Part of
Eating Recovery Center of Washington

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1871044867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 114TH AVE SE",
            "address_2": "SUITE #180",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046950",
            "telephone_number": "425-451-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 114TH AVE SE",
            "address_2": "SUITE #180",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046950",
            "telephone_number": "425-451-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING RECOVERY CENTER OF WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EATING RECOVERY CENTER OF WA",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "SHEPEL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "206-383-4781"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.