Innovative Natural Medicine PLLC

Primary specialty

NaturopathTaxonomy code 175F00000X

Legal business name

INNOVATIVE NATURAL MEDICINE PLLC

Practice address

1700 132ND St SE
Ste G
Mill Creek, WA 98012

Phone

(425) 338-1555

Fax

(425) 338-0765

NPI assigned

Aug 24, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lyndon C Capon, RC LMP RN ARNP ND

Title

President

Phone

(425) 338-1555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134112162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 132ND ST SE",
            "address_2": "STE G",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-338-1555",
            "fax_number": "425-338-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 132ND ST SE",
            "address_2": "STE G",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-338-1555",
            "fax_number": "425-338-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE NATURAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAPON",
        "authorized_official_first_name": "LYNDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-338-1555",
        "authorized_official_credential": "RC LMP RN ARNP ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Hunt, MSW, ACSW, LCSW
• Amy Husted, LICSW
• Scott Hutsenpiller, L.M.P.
• Stella Han In, PT
• Innovative Care Clinic
• Integrated Rehabilitation Group, PC
• Integrated Rehabilitation Group, PC (IRG Cascade Children's Therapy - Mill Creek)
• Integrated Rehabilitation Group, PC (IRG Physical Therapy - Gateway)
• Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Mill Creek)
• Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Mill Creek)

• Naturopath in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.