NPIMap

Organization Active NPI

Moonrise Health and Birth, Inc

Doing business as Rainbow Roots Neurodiversity Clinic

  • Naturopath
  • Mountlake Terrace, WA
National Provider Identifier
1013483791
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
MOONRISE HEALTH AND BIRTH, INC
Doing business as
Rainbow Roots Neurodiversity Clinic
Practice address
4803 219TH St SW
Mount Lake Terrace, WA 98043
Phone
(425) 670-6752
Fax
(888) 691-3151
NPI assigned
Oct 19, 2018
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Brandy Ross, ND, LMNPI 1215941224
Title
Owner
Phone
(425) 670-6752

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X Primary
Lay MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175M00000X

Addresses

Primary practice location

4803 219TH St SW
Mount Lake Terrace, WA 98043

Mailing address

20126 Ballinger Way NE # 141
Shoreline, WA 98155-1117
Phone (425) 670-6752

Other names 1

  • Rainbow Roots Neurodiversity Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4210 198th St SW
Ste 100
Lynnwood, WA 98036
Phone (425) 670-6752

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1013483791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20126 BALLINGER WAY NE # 141",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551117",
            "telephone_number": "425-670-6752",
            "fax_number": "888-691-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 219TH ST SW",
            "city": "MOUNT LAKE TERRACE",
            "state": "WA",
            "postal_code": "98043",
            "telephone_number": "425-670-6752",
            "fax_number": "888-691-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONRISE HEALTH AND BIRTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-670-6752",
        "authorized_official_credential": "ND, LM"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Roots Neurodiversity Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.