Organization Active NPI

Bellevue Allergy Clinic

  • Naturopath
  • Bellevue, WA
National Provider Identifier
1003482944
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
BELLEVUE ALLERGY CLINIC
Practice address
1260 116TH Ave NE
Bellevue, WA 98004-3800
Phone
(425) 367-4169
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Douglas SpeidelNPI 1821134602
Title
Owner
Phone
(360) 697-2122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

1260 116TH Ave NE
Bellevue, WA 98004-3800

Mailing address

19586 10TH Ave NE Ste 300
Poulsbo, WA 98370-7332
Phone (360) 697-2122

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ndreception@gmail.com

National Provider Directory

National Provider Directory

Locations

1260 116th Ave NE
Bellevue, WA 98004
Phone (425) 367-4169

19586 10th Ave NE
Ste 300
Poulsbo, WA 98370

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1003482944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19586 10TH AVE NE STE 300",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707332",
            "telephone_number": "360-697-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043800",
            "telephone_number": "425-367-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE ALLERGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "SPEIDEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-697-2122"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ndreception@gmail.com",
            "affiliation": "N",
            "address_1": "1260 116th Ave NE",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980043800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.