Organization Active NPI

Monroe Naturopathic Medical Clinic, Inc.

  • Primary Care Clinic/Center
  • Monroe, WA
National Provider Identifier
1144738337
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Jan 22, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1417191131MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.