OrganizationActive
Village Integrative Care, P.s.
NPI 1558642017 · Family Medicine Physician · Seattle, WA
Provider details
- NPI number
- 1558642017
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Village
- Organization subpart
- Yes
- Authorized official
- Tara Shelby, Executive Director(205) 363-5555
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6300 9th Ave Ne Ste 300
Seattle, WA 98115-8516
Phone: (206) 363-5555
Fax: (206) 363-5533
Street-level locationGet directions
Mailing address
6300 9th Ave Ne Ste 300
Seattle, WA 98115-8516
Registry dates
- Enumerated
- 2011-08-29
- Last updated
- 2011-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.