Individual provider Active NPI

David Fell

  • Naturopath
  • Yelm, WA
National Provider Identifier
1144859679
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT61107505 Issued in WA
Practice address
206 3Rd St SE
Yelm, WA 98597-7646
Phone
(360) 329-2386
Fax
(949) 655-6061
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT61107505 WA Primary

Addresses

Primary practice location

206 3Rd St SE
Yelm, WA 98597-7646

Mailing address

22409 Basin View CT SE
Yelm, WA 98597-9009
Phone (360) 329-2386

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Kenmore

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
NT61107505WAMDNaturopath

Interoperability endpoints

  • Direct secure messaging: david.fell@322878089068548.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1144859679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22409 BASIN VIEW CT SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979009",
            "telephone_number": "360-329-2386",
            "fax_number": "949-655-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 3RD ST SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977646",
            "telephone_number": "360-329-2386",
            "fax_number": "949-655-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELL",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61107505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kenmore",
            "affiliation": "N",
            "address_1": "15807 62nd Pl NE",
            "city": "Kenmore",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980284316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.