Thomas Andrew Griffith, ND

Individual provider Active NPI Naturopath · Elma, WA

NPI 1104023480 · NPPES record last updated Dec 10, 2023

Key facts

NPI
1104023480
Entity type
Individual (NPI type 1)
Primary specialty
Naturopath 175F00000X
License
NT00001402 (WA)
Practice address
600 E Main St
Elma, WA 98541-9560
Phone
(360) 346-2222
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
NT00001402WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Healthcare LLC Current
since Mar 26, 2023
Accepting new patients
Heart of Wellness Inc Past
since May 1, 2023
Accepting new patients
Healing With Clarity, PS Past
since May 1, 2023
Accepting new patients

Locations

2584 R W Johnson Blvd SW
#102
Tumwater, WA 98512
Phone (360) 455-8288

Interoperability endpoints

  • Direct secure messaging: thomas.griffith@7727870771204.direct.elationemr.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT00001402 WA Yes

Addresses

Primary practice location

600 E Main St
Elma, WA 98541-9560

Mailing address

240 E Cedar St
McCleary, WA 98557-9435
Phone (360) 528-7530

Other practice location 1

240 E Cedar St
McCleary, WA 98557-9435
Phone (605) 287-5303

Other identifiers

IdentifierTypeStateIssuer
1402OtherWASTATE ND LICENSE
1154678670OtherWANATURPPATH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 10, 2023.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1104023480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E CEDAR ST",
            "city": "MCCLEARY",
            "state": "WA",
            "postal_code": "985579435",
            "telephone_number": "360-528-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419560",
            "telephone_number": "360-346-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 E Cedar St",
            "address_purpose": "LOCATION",
            "city": "McCleary",
            "state": "WA",
            "postal_code": "985579435",
            "country_code": "US",
            "telephone_number": "605-287-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ND LICENSE",
            "identifier": "1402",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATURPPATH",
            "identifier": "1154678670",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, WA

All providers in Elma, WA · Naturopath in Washington

Sources for this page

Verify at the official NPI Registry.