Active NPI
Lara A Thompson, ND
- Naturopath
- Lynnwood, WA
National Provider Identifier
1104467778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT61007396
- Practice address
- 16825 48TH Ave W Ste 301
Lynnwood, WA 98037-6407 - Phone
- (206) 485-0854
- Fax
- (877) 842-5128
- NPI assigned
- Oct 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT61007396 | WA | Primary |
Addresses
Primary practice location
16825 48TH Ave W Ste 301
Lynnwood, WA 98037-6407
Mailing address
15515 Juanita WDVL Way NE Unit D103
Bothell, WA 98011-1584
Phone (206) 485-0854
Other practice location 1
15515 Juanita Wdvl Way NE Unit D103
Bothell, WA 98011-1584
Phone (206) 485-0854
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
| License | State | Type | Specialty |
|---|---|---|---|
| NT61007396 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1104467778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15515 JUANITA WDVL WAY NE UNIT D103",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980111584",
"telephone_number": "206-485-0854",
"fax_number": "877-842-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16825 48TH AVE W STE 301",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980376407",
"telephone_number": "206-485-0854",
"fax_number": "877-842-5128"
}
],
"practiceLocations": [
{
"address_1": "15515 Juanita Wdvl Way NE Unit D103",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980111584",
"country_code": "US",
"telephone_number": "206-485-0854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "LARA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT61007396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.