Organization Active NPI

Emerald Center for Integrative Medicine, LLC

  • Non-Pharmacy Dispensing Site
  • Seattle, WA
National Provider Identifier
1972970895
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
NT60252705 Issued in WA
Legal business name
EMERALD CENTER FOR INTEGRATIVE MEDICINE, LLC
Practice address
9730 3Rd Ave NE
Suite 202
Seattle, WA 98115-2023
Phone
(206) 525-5576
NPI assigned
Aug 26, 2015
Organization subpart
Yes
Parent organization
EMERALD CENTER FOR INTEGRATIVE MEDICINE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Teresa A. Goldsmith, N.D.
Title
Owner
Phone
(206) 525-5576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NT60252705 WA Primary

Addresses

Primary practice location

9730 3Rd Ave NE
Suite 202
Seattle, WA 98115-2023

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 943-4180

National Provider Directory

National Provider Directory
Part of
Emerald Center for Integrative Medicine LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1972970895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 3RD AVE NE",
            "address_2": "SUITE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152023",
            "telephone_number": "206-525-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CENTER FOR INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERALD CENTER FOR INTEGRATIVE MEDICINE, LLC",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-525-5576",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "NT60252705",
            "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 Sep 23, 2015; 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.