Organization Active NPI

Negre Marron Wellness

  • Clinic/Center
  • Federal Way, WA
National Provider Identifier
1073237061
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Dr. Ivan Quintero, NDNPI 1700440757
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.