Individual provider Active NPI

Randall James Carpio Jr.

  • Naturopath
  • Tumwater, WA
National Provider Identifier
1114565397
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60958183 Issued in WA
Practice address
205 Clark PL SE
Tumwater, WA 98501-4062
Phone
(360) 570-0401
NPI assigned
Dec 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 311 HI
Naturopath 175F00000X NT60958183 WA Primary

Addresses

Primary practice location

205 Clark PL SE
Tumwater, WA 98501-4062

Mailing address

7345 164TH Ave NE # 145191
Redmond, WA 98052-7846

Other practice location 1

22433 NE Marketplace Dr Apt J2070
Redmond, WA 98053-1922
Phone (808) 283-5576

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
311HIMDMental Health Counselor
NT60958183WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Ohana Health Solutions Naturopath CurrentSince Sep 29, 2024 Accepting new patients
Heart of Wellness Inc PastSince Jan 5, 2025 Accepting new patients

Locations

7345 164th Ave NE
#145191
Redmond, WA 98052

Interoperability endpoints

  • Direct secure messaging: randall.carpio.p1@direct.lower-elwha-klallam.nextgenshare.com

Organizations & group practices 2

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1114565397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 164TH AVE NE # 145191",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CLARK PL SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014062",
            "telephone_number": "360-570-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22433 NE Marketplace Dr Apt J2070",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980531922",
            "country_code": "US",
            "telephone_number": "808-283-5576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPIO",
        "first_name": "RANDALL",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "HI",
            "license": "311",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60958183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.