GLACIER LAKE WELLNESS PLLC
NPI 1699310284
Nurse Practitioner - Psychiatric/Mental Health in Bellevue, WA

NPI Status: Active since November 07, 2019

Contact Information

1400 112TH AVE SE STE 100
BELLEVUE, WA
ZIP 98004
Phone: (541) 623-0738

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About GLACIER LAKE WELLNESS PLLC

This page provides the complete NPI Profile along with additional information for Glacier Lake Wellness Pllc, a provider established in Bellevue, Washington operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1699310284 assigned on November 2019. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Thomas Moore (President)

NPI
1699310284
Provider Name
GLACIER LAKE WELLNESS PLLC
Entity Type
Organization
Location Address
1400 112TH AVE SE STE 100 BELLEVUE, WA 98004
Location Phone
(541) 623-0738
Mailing Address
159 N SANGAMON ST STE 200 CHICAGO, IL 60607
Mailing Phone
(309) 397-2415
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2019
Last Update Date
07-19-2022
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A nurse practitioner (NP) like Glacier Lake Wellness Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS MOORE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(541) 345-1722

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1699310284
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26189610216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 6 + 1 + 0 + 2 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1699310284 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902092182PATRICIA L PADDISON, MD, PLLC
Organization
Psychiatry & Neurology (Psychiatry)1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 455-2526
1841461969MICHELLE L. D. CALDIER, DDS, PS
Organization
Dentist (General Practice)1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 467-8494
1639322993 JESSICA L MILLER LMHC
Individual
Counselor (Mental Health)1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 999-5466
1720519390 DARCY HOLLIE MAED., LMHCA, NCC
Individual
Counselor1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 516-7811
1821505207 CASSANDRA KOTLARCHIK LMFT, CEDS
Individual
Marriage & Family Therapist1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 405-2837
1962787655DR. JULIA ELIZABETH MCLAWSEN PH.D., R.PSYCH.
Individual
Psychologist (Forensic)1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(206) 289-0456
1124503735PREMIER THERAPEUTIC EXPERIENCE
Organization
Marriage & Family Therapist1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(507) 254-7893
1679132971ADDING SOLUTIONS
Organization
Counselor (Mental Health)1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(206) 861-9577
1881211399WEST COAST PSYCHIATRY
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(206) 486-5225
1073182101VITALOGIC HEALTHCARE SOLUTIONS LLC
Organization
Home Health1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(206) 586-3898
1588236194NURSE CARE SOLUTIONS, LLC
Organization
Registered Nurse1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(206) 316-2525
1093476467TELEEMON BEHAVIORAL HEALTH SERVICES
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 615-8960
1083659841MS. CLAIRE PASTOR M.D.
Individual
Psychiatry & Neurology (Psychiatry)1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 462-9511
1962779041 KIRANJOT KAUR GILL NP
Individual
Nurse Practitioner1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 357-7248
1144956269CENTER FOR COUNSELING AND WELLBEING
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(214) 205-5004
1528658796THE HAMILTON CENTER
Organization
Community/Behavioral Health1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(833) 288-4764
1649597758 MARISOL TOLIVER-SOKOL
Individual
Psychiatry & Neurology (Psychiatry)1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(206) 222-6757
1235569427INTEGRATED HEALTH CENTER OF WASHINGTON
Organization
Chiropractor1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 324-3100
1225325483MISS LATOSHA K WALKER FNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 891-0104
1205588555EASTSIDE INSIGHT, PLLC
Organization
Counselor (Professional)1400 112TH AVE SE STE 100
BELLEVUE, WA 98004
(425) 245-5981

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699310284, enumerated in the NPI registry as an "organization" on November 07, 2019

The provider is located at 1400 112th Ave Se Ste 100 Bellevue, Wa 98004 and the phone number is (541) 623-0738

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on November 07, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.