Healthcare Provider Details

I. General information

NPI: 1528937182
Provider Name (Legal Business Name): VERA WHOLE HEALTH WA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W TOWNE RIDGE PKWY STE 200
SANDY UT
84070-5530
US

IV. Provider business mailing address

100 W TOWNE RIDGE PKWY STE 200
SANDY UT
84070-5530
US

V. Phone/Fax

Practice location:
  • Phone: 206-395-6973
  • Fax: 206-770-6159
Mailing address:
  • Phone: 206-395-6973
  • Fax: 206-770-6159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VANYA ELLER
Title or Position: LICENSING ANALYST AND LEGAL ASST
Credential:
Phone: 206-395-7870