Katie Lundberg, N.D., L.AC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60187892 Issued in WA

Practice address

11821 NE 128TH St Ste H
Kirkland, WA 98034-7210

Phone

(206) 618-6549

Fax

(425) 968-6367

NPI assigned

Jun 11, 2012

Reactivated

Nov 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kirkland Acupuncture Clinic PLLC

  • Acupuncturist
  • Kirkland, WA
  • NPI 1649838301
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1083976559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE STE 206",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-229-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 NE 128TH ST STE H",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347210",
            "telephone_number": "206-618-6549",
            "fax_number": "425-968-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "N.D., L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-11-27",
        "deactivation_date": "2019-09-24",
        "reactivation_date": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60140585",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60187892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lumina Pelvic Health LLC
• Lund Orthodontics, P.S.
• James A. Lund, M.D.
• Jennifer Lund
• Paul Lund, MPH, DDS, MSD, P.S.
• Kendra Tobey Lundstrom
• Lisa Lunsford
• Teresa Lupinacci, MA
• Andrea Lutac, ND
• Stevie Lynn Luttermoser, L.M.P.

• Naturopath in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.