Active NPI
Randall James Carpio Jr.
- Naturopath
- Tumwater, WA
National Provider Identifier
1114565397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60958183
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 311 | HI | MD | Mental Health Counselor |
| NT60958183 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohana Health Solutions | Naturopath | Current | Accepting new patients |
| Heart of Wellness Inc | Past | Accepting new patients |
Locations
7345 164th Ave NE
#145191
Redmond, WA 98052
Interoperability endpoints
- 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.
-
- Clinic/Center
- Tumwater, WA
- NPI 1154678670
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.