NPIMap

Organization Active NPI

Walla Walla Naturopathic PLLC

  • Naturopath
  • Walla Walla, WA
National Provider Identifier
1043671019
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT00000795 Issued in WA
Legal business name
WALLA WALLA NATUROPATHIC PLLC
Practice address
903 Howard St
Walla Walla, WA 99362-3326
Phone
(509) 525-4160
Fax
(509) 522-9921
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Dr. Melissa G McClintock, ND
Title
Physician
Phone
(509) 525-4160

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00002384 WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT00000795 WA Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT00001427 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00015928 WA

Addresses

Primary practice location

903 Howard St
Walla Walla, WA 99362-3326

Mailing address

903 Howard St
Walla Walla, WA 99362-3326
Phone (509) 525-4160

Other names 1

  • Melissa McClintock Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1043671019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 HOWARD ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623326",
            "telephone_number": "509-525-4160",
            "fax_number": "509-522-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 HOWARD ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623326",
            "telephone_number": "509-525-4160",
            "fax_number": "509-522-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLA WALLA NATUROPATHIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-525-4160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002384",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00000795",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001427",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa McClintock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.