Active NPI
Lauren Alixandra Gresham
- Naturopath
- Seattle, WA
National Provider Identifier
1073155412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT61006682
- Practice address
- 2377 Eastlake Ave E
Seattle, WA 98102-3390 - Phone
- (425) 286-6341
- NPI assigned
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT61006682 | WA | Primary |
Addresses
Primary practice location
2377 Eastlake Ave E
Seattle, WA 98102-3390
Mailing address
2377 Eastlake Ave E
Seattle, WA 98102-3390
Phone (425) 286-6341
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Charmhealth.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NT61006682 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1073155412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2377 EASTLAKE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023390",
"telephone_number": "425-286-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2377 EASTLAKE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023390",
"telephone_number": "425-286-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRESHAM",
"first_name": "LAUREN",
"middle_name": "ALIXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT61006682",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Charmhealth.com",
"affiliation": "N",
"endpointDescription": "Our EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Medical Records",
"address_1": "2377 Eastlake Ave E",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981023390",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 14, 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.