Active NPI
Madrona Natural Medicine, LLC
- Naturopath
- Renton, WA
National Provider Identifier
1073092987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Legal business name
- MADRONA NATURAL MEDICINE, LLC
- Practice address
- 19201 108TH Ave SE Ste 101
Renton, WA 98055 - Phone
- (253) 277-9130
- Fax
- (253) 981-3246
- NPI assigned
- Aug 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Doize, ND
- Title
- Owner
- Phone
- (253) 277-9130
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | WA | ||
| Naturopath | 175F00000X | Primary |
Addresses
Primary practice location
19201 108TH Ave SE Ste 101
Renton, WA 98055
Mailing address
17653 134TH LN SE
Renton, WA 98058-6817
Phone (210) 563-2111
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Naturopath
- Renton, WA
- NPI 1316488257
-
- Naturopath
- Renton, WA
- NPI 1679011845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536278400000",
"number": "1073092987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17653 134TH LN SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980586817",
"telephone_number": "210-563-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19201 108TH AVE SE STE 101",
"city": "RENTON",
"state": "WA",
"postal_code": "98055",
"telephone_number": "253-277-9130",
"fax_number": "253-981-3246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADRONA NATURAL MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-10",
"last_updated": "2018-09-07",
"status": "A",
"authorized_official_last_name": "DOIZE",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-277-9130",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.