Meredith Jill Distante, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT00001485 Issued in WA

Practice address

415 NE Birch Street
Camas, WA 98607

Phone

(360) 834-2732

Fax

(360) 834-3063

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Meredith Lerman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blossom Natural Health and Wellness

  • Naturopath
  • Camas, WA
  • NPI 1356699607
  NPD (past) Authorized official

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1114969847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NE BIRCH STREET",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "98607",
            "telephone_number": "360-834-2732",
            "fax_number": "360-834-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NE BIRCH STREET",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "98607",
            "telephone_number": "360-834-2732",
            "fax_number": "360-834-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTANTE",
        "first_name": "MEREDITH",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001485",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP PROVIDER NUMBER",
            "identifier": "229268",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "LERMAN",
            "credential": "ND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dementia Primary Care Partners PLLC
• Demian Woyciehowsky, DMD, PLLC
• Kitrina Amanda Depaolo, LMP
• Daniel Leonard Desjardins, D.C.
• Tho Thien Ai Duc Dinh, RPH
• Anne Doane, RN
• Ryan Lee Dorsey, APRN
• Jennifer Marie Dostert
• Summer Nichole Dowell, LMP
• Samuel Duffey

• Naturopath in Camas, WA
• Providers in Camas, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.