Individual provider Active NPI

Juniper R Anzalone, ND

  • Naturopath
  • Shoreline, WA
National Provider Identifier
1013766245
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT61548521 Issued in WA
Practice address
816 NE 189TH St
Shoreline, WA 98155-2235
Phone
(206) 999-3028
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT61548521 WA Primary

Addresses

Primary practice location

816 NE 189TH St
Shoreline, WA 98155-2235

Mailing address

816 NE 189TH St
Shoreline, WA 98155-2235
Phone (206) 999-3028

Other practice location 1

1530 S Union Ave
Tacoma, WA 98405-1954
Phone (253) 752-2558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NT61548521WAMDNaturopath

Interoperability endpoints

  • Direct secure messaging: juniper.anzalone.1@31332.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1013766245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 NE 189TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981552235",
            "telephone_number": "206-999-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 NE 189TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981552235",
            "telephone_number": "206-999-3028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 S Union Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051954",
            "country_code": "US",
            "telephone_number": "253-752-2558",
            "fax_number": "253-759-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANZALONE",
        "first_name": "JUNIPER",
        "middle_name": "R",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61548521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.