Eastside Integrative Medicine, PLLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

EASTSIDE INTEGRATIVE MEDICINE, PLLC

Practice address

3922 148TH St SE Ste 203
Mill Creek, WA 98012-4752

Phone

(425) 225-5310

Fax

(833) 783-1742

NPI assigned

Nov 2, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer J Walters, NDNPI 1811500887

Title

Owner

Phone

(425) 225-5310

Specialties & licenses 1

Addresses

Other names 2

• Eastside Integrative Medicine Doing business as
• First Responder Wellness Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26378/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer J Walters, ND

  • Naturopath
  • Mill Creek, WA
  • NPI 1811500887
  NPD Authorized official

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1093316614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23111 105TH ST SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982727809",
            "telephone_number": "425-225-5310",
            "fax_number": "833-783-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 148TH ST SE STE 203",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980124752",
            "telephone_number": "425-225-5310",
            "fax_number": "833-783-1742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23111 105th St SE",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982727809",
            "country_code": "US",
            "telephone_number": "425-327-3889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12425 Meridian Ave S",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982085728",
            "country_code": "US",
            "telephone_number": "360-200-1655",
            "fax_number": "833-819-0271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14841 179th Ave SE Ste 220",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982721127",
            "country_code": "US",
            "telephone_number": "360-200-1655",
            "fax_number": "866-248-9597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EASTSIDE INTEGRATIVE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-225-5310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Responder Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Tumamao Domingo, RN
• Mayara Fernanda Dos Santos, PT
• Doug Beck PLLC
• Mary Alice Duhme, PT
• Annalise D Dusell, PT, DPT
• Kiana Eaton
• Belinda Eddy, D.C.
• Leihua Edstrom, PHD, ABSNP
• Haley Marie Egan
• Lauren Anne Eikren, PMHNP

• Naturopath in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.