Individual provider Active NPI

Tiffany J Bloomingdale, ND

  • Naturopath
  • Seattle, WA
National Provider Identifier
1043828361
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT61087997 Issued in WA
Practice address
6025 California Ave SW Apt C
Seattle, WA 98136-2736
Phone
(315) 420-0383
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X
Naturopath 175F00000X NT61087997 WA Primary

Addresses

Primary practice location

6025 California Ave SW Apt C
Seattle, WA 98136-2736

Mailing address

6025 California Ave SW Apt C
Seattle, WA 98136-2736
Phone (315) 420-0383

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
NT61087997WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1043828361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 CALIFORNIA AVE SW APT C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981362736",
            "telephone_number": "315-420-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 CALIFORNIA AVE SW APT C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981362736",
            "telephone_number": "315-420-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMINGDALE",
        "first_name": "TIFFANY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61087997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.