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SEATTLE ROOTS COMMUNITY HEALTH
NPI 1114540457
Clinic/Center - Federally Qualified Health Center (FQHC) in Seattle, WA

Active since May 21, 2020
2410 E CHERRY ST, SEATTLE, WA 98122(206) 709-7166(206) 299-1920 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Nov 25, 2020, May 21, 2020 (3 updates tracked since 2020).

About Seattle Roots Community Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEATTLE ROOTS COMMUNITY HEALTH (NPI 1114540457), doing business as Nova Wellness Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Seattle, Washington and active in the NPI registry since May 2020. The organization lists Angie J Treptow, Interim Finance Director, as its authorized official.

NPPES Registry Identity

NPI1114540457
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSEATTLE ROOTS COMMUNITY HEALTH
Location Address2410 E CHERRY STSeattle, WA 98122
Mailing Address2101 E Yesler Way, Suite 210Seattle, WA 98122-5959 · (206) 709-7112 · Fax (206) 299-1920
Phone(206) 709-7166
Fax(206) 299-1920
Organization SubpartYes
Authorized OfficialAngie J TreptowInterim Finance Director · (253) 299-1937
Enumeration DateMay 21, 2020
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1114540457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
2410 E CHERRY ST, Seattle, WA 98122
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Other Names 2

Doing Business AsNova Wellness Center
Doing Business AsSeattle Roots At Nova

Other Identifiers 1

Medicaid2174445WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seattle Roots Community Health's NPI number?

The NPI number for Seattle Roots Community Health is 1114540457. It was assigned to this organization in the NPPES registry on May 21, 2020. The provider is doing business as Nova Wellness Center and Seattle Roots at Nova.

Where is Seattle Roots Community Health located?

Seattle Roots Community Health is located at 2410 E Cherry St, Seattle, WA 98122. The listed phone number is (206) 709-7166.

What is Seattle Roots Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Seattle Roots Community Health accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Seattle Roots Community Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seattle Roots Community Health was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.