NPIMap

Organization Active NPI

Revive Low T, LLC

  • Naturopath
  • Kirkland, WA
National Provider Identifier
1922425248
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60120417 Issued in WA
Legal business name
REVIVE LOW T, LLC
Practice address
11903 NE 128TH St
Suite a
Kirkland, WA 98034-7209
Phone
(206) 960-4770
Fax
(866) 998-1837
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Elisa Aarvik
Title
Manager
Phone
(206) 960-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X NT60120417 WA Primary

Addresses

Primary practice location

11903 NE 128TH St
Suite a
Kirkland, WA 98034-7209

Mailing address

11911 NE 132ND St Ste 103
Kirkland, WA 98034-2900
Phone (206) 960-4770

Other names 1

  • Revive Low T Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Revive Low T LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

11911 NE 132nd St
Ste 103
Kirkland, WA 98034
Phone (206) 960-4770

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1922425248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 NE 132ND ST STE 103",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342900",
            "telephone_number": "206-960-4770",
            "fax_number": "866-998-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11903 NE 128TH ST",
            "address_2": "SUITE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347209",
            "telephone_number": "206-960-4770",
            "fax_number": "866-998-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE LOW T, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "AARVIK",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-960-4770"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60120417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Low T Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revive Low T Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.