Active NPI
Wendy Leigh Ellis, N.D.
- Naturopath
- Seattle, WA
National Provider Identifier
1912236159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT 00001394
- Practice address
- 2611 NE 125TH St
Suite 228
Seattle, WA 98125-4373 - Phone
- (206) 402-4215
- Fax
- (206) 257-4468
- NPI assigned
- Dec 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT 00001394 | WA | Primary |
Addresses
Primary practice location
2611 NE 125TH St
Suite 228
Seattle, WA 98125-4373
Mailing address
2611 NE 125TH Street - Suite 228
Suite 228
Seattle, WA 98125
Phone (206) 402-4215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT 00001394 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genneve Medical P.C. | Past | Accepting new patients |
Interoperability endpoints
- wendy.ellis.1@26576.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1912236159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 NE 125TH STREET - SUITE 228",
"address_2": "SUITE 228",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98125",
"telephone_number": "206-402-4215",
"fax_number": "206-257-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "SUITE 228",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "206-402-4215",
"fax_number": "206-257-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "WENDY",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-17",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT 00001394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.