Individual provider Active NPI

Tim Gerstmar, ND

  • Naturopath
  • Redmond, WA
National Provider Identifier
1124265210
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT 60062476 Issued in WA
Practice address
16455 NE 85TH St
Suite 102
Redmond, WA 98052-3673
Phone
(425) 483-6663
NPI assigned
Jan 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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 60062476 WA Primary

Addresses

Primary practice location

16455 NE 85TH St
Suite 102
Redmond, WA 98052-3673

Mailing address

16455 NE 85TH St
Suite 102
Redmond, WA 98052-3673

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 60062476WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1124265210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 NE 85TH ST",
            "address_2": "SUITE 102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 NE 85TH ST",
            "address_2": "SUITE 102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523673",
            "telephone_number": "425-483-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTMAR",
        "first_name": "TIM",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 60062476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.