Individual provider Active NPI

Lavica Jane Barnes, N.D.

  • Naturopath
  • Edmonds, WA
National Provider Identifier
1104067933
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT 60024453 Issued in WA
Practice address
21920 76TH Ave W
Suite 203
Edmonds, WA 98026-7980
Phone
(425) 776-3800
Fax
(425) 776-3844
NPI assigned
Mar 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT 60024453 WA Primary

Addresses

Primary practice location

21920 76TH Ave W
Suite 203
Edmonds, WA 98026-7980

Mailing address

21920 76TH Ave W
Suite 203
Edmonds, WA 98026-7980
Phone (425) 776-3800

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

State licenses

LicenseStateTypeSpecialty
NT 60024453WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Naturopathic and Pain Clinic Naturopath Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1104067933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21920 76TH AVE W",
            "address_2": "SUITE 203",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267980",
            "telephone_number": "425-776-3800",
            "fax_number": "425-776-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21920 76TH AVE W",
            "address_2": "SUITE 203",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267980",
            "telephone_number": "425-776-3800",
            "fax_number": "425-776-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LAVICA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 60024453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.