Active NPI
Negre Marron Wellness
- Clinic/Center
- Federal Way, WA
National Provider Identifier
1073237061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- NEGRE MARRON WELLNESS
- Practice address
- 31919 1St Ave S Ste 105
Federal Way, WA 98003-5258 - Phone
- (206) 717-5644
- NPI assigned
- Oct 3, 2022
- 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
- Dr. Ivan Quintero, ND
- Title
- Naturopathic Physician
- Phone
- (707) 688-9253
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
31919 1St Ave S Ste 105
Federal Way, WA 98003-5258
Mailing address
31919 1St Ave S Ste 105
Federal Way, WA 98003-5258
Phone (206) 717-5644
National Provider Directory
National Provider DirectoryLocations
31919 1st Ave S
Ste 105
Federal Way, WA 98003
Phone (206) 717-5644
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Naturopath
- Federal Way, WA
- NPI 1700440757
-
- Naturopath
- Federal Way, WA
- NPI 1205281284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1073237061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31919 1ST AVE S STE 105",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035258",
"telephone_number": "206-717-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31919 1ST AVE S STE 105",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980035258",
"telephone_number": "206-717-5644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEGRE MARRON WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "QUINTERO",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN",
"authorized_official_telephone_number": "707-688-9253",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.