Active NPI
Monroe Naturopathic Medical Clinic, Inc.
- Primary Care Clinic/Center
- Monroe, WA
National Provider Identifier
1144738337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MONROE NATUROPATHIC MEDICAL CLINIC, INC.
- Practice address
- 17801 W Main St
Monroe, WA 98272-1927 - Phone
- (360) 794-4539
- NPI assigned
- Jan 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alice Harper, ND
- Title
- Ceo
- Phone
- (360) 794-4539
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
17801 W Main St
Monroe, WA 98272-1927
Mailing address
17801 W Main St
Monroe, WA 98272-1927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417191131 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
17801 W Main St
Monroe, WA 98272
Phone (360) 794-4539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516579200000",
"number": "1144738337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17801 W MAIN ST",
"city": "MONROE",
"state": "WA",
"postal_code": "982721927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17801 W MAIN ST",
"city": "MONROE",
"state": "WA",
"postal_code": "982721927",
"telephone_number": "360-794-4539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONROE NATUROPATHIC MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "ALICE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "360-794-4539",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417191131",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.