NPIMap

Individual provider Active NPI

Michele Lynn Deisering, N.D.

  • Naturopath
  • Tumwater, WA
National Provider Identifier
1144465394
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60332030 Issued in WA
Practice address
205 Clark PL SE
Tumwater, WA 98501-4062
Phone
(360) 570-0401
Fax
(360) 570-2060
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60332030 WA Primary

Addresses

Primary practice location

205 Clark PL SE
Tumwater, WA 98501-4062

Mailing address

205 Clark PL SE
Tumwater, WA 98501-4062
Phone (360) 570-0401

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
NT60332030WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Healing With Clarity, PS Past Accepting new patients
Heart of Wellness Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michele.deisering@7727870771204.direct.elationemr.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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1144465394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CLARK PL SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014062",
            "telephone_number": "360-570-0401",
            "fax_number": "360-570-2060"
        },
        {
            "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",
            "fax_number": "360-570-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEISERING",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60332030",
            "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 Jul 23, 2013; 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.