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VIDA INTEGRATED HEALTH
NPI 1538645288
Chiropractor - Sports Physician in Seattle, WA

Active since July 16, 2018CLIA 50D2069579 · Waiver
4915 25TH AVE NE STE 104, SEATTLE, WA 98105(206) 315-7998(206) 316-2308 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vida Integrated Health NPPES

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

VIDA INTEGRATED HEALTH (NPI 1538645288) is a healthcare organization registered as a sports physician in Seattle, Washington and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Debbie Troxler, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1538645288
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameFUNCTIONAL HEALTH CONSULTING, LLC
Location Address4915 25TH AVE NE STE 104Seattle, WA 98105-8667
Mailing Address15 Sw Everett Mall Way Ste GEverett, WA 98204-2715 · (425) 355-5222 · Fax (425) 355-5231
Phone(206) 315-7998
Fax(206) 316-2308
Organization SubpartYes
Authorized OfficialDebbie TroxlerBilling Specialist · (425) 355-5222
Enumeration DateJuly 16, 2018
✔ NPI 1538645288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
4915 25TH AVE NE STE 104, Seattle, WA 98105
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Other Names 1

Doing Business AsVida Integrated Health

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2069579

Vida Integrated Health · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2069579
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMichelle Leary-Chang
Laboratory Phone(206) 315-7998
Laboratory LocationVida Integrated Health4915 25th Ave NE Ste 104, Seattle, WA 98105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN GRACE COKER ND
Naturopath
4915 25TH AVE NE STE 104
SEATTLE, WA 98105
King County (206) 315-7998
NATALIA CHERNYSHEVA LMT
Massage Therapist
4915 25TH AVE NE STE 104
SEATTLE, WA 98105
King County (206) 315-7998
SADIRA NADJA ABDIANNIA LMT
Massage Therapist
4915 25TH AVE NE STE 104
SEATTLE, WA 98105
King County (206) 315-7998
DANIELLE LOUISE WALSH DC
Chiropractor
4915 25TH AVE NE STE 104
SEATTLE, WA 98105
King County (206) 315-7998
ALEXA MACIAS DPT
Physical Therapist
4915 25TH AVE NE STE 104
SEATTLE, WA 98105
King County (206) 315-7998
MR. JASON P GODFREY DPT
Physical Therapist
4915 25TH AVE NE STE 104
SEATTLE, WA 98105
King County (206) 315-7998
DR. ALEXIS TAYLOR GONZALES ND
Naturopath
4915 25TH AVE NE STE 104
SEATTLE, WA 98105
King County (206) 315-7998
ADRIAN CONRAD LMT
Massage Therapist
4915 25TH AVE NE STE 104
SEATTLE, WA 98105
King County (206) 315-7998

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 Functional Health Consulting, LLC's NPI number?

The NPI number for Functional Health Consulting, LLC is 1538645288. It was assigned to this organization in the NPPES registry on July 16, 2018. The provider is doing business as Vida Integrated Health.

Where is Functional Health Consulting, LLC located?

Functional Health Consulting, LLC is located at 4915 25th Ave NE Ste 104, Seattle, WA 98105. The listed phone number is (206) 315-7998.

What is Functional Health Consulting, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Does Functional Health Consulting, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2069579) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Functional Health Consulting, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Functional Health Consulting, LLC 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 Functional Health Consulting, LLC was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.