Active NPI
Paul Edward Reilly, N.D, L.AC
- Naturopath
- Fife, WA
National Provider Identifier
1083703664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Practice address
- 3700 Pacific Hwy E
Suite 100
Fife, WA 98424-1148 - Phone
- (253) 382-6300
- Fax
- (253) 382-6301
- NPI assigned
- Oct 12, 2006
- Last updated
- Dec 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Naturopath | 175F00000X | Primary |
Addresses
Primary practice location
3700 Pacific Hwy E
Suite 100
Fife, WA 98424-1148
Mailing address
3700 Pacific E Hwy
Fife, WA 98424-1148
Phone (253) 382-6300
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1083703664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 PACIFIC E HWY",
"city": "FIFE",
"state": "WA",
"postal_code": "984241148",
"telephone_number": "253-382-6300",
"fax_number": "253-382-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 PACIFIC HWY E",
"address_2": "SUITE 100",
"city": "FIFE",
"state": "WA",
"postal_code": "984241148",
"telephone_number": "253-382-6300",
"fax_number": "253-382-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "PAUL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "N.D, L.AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fife, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.