Individual provider Active NPI

Rebecca Eulalia Sornson, ND

  • Naturopath
  • Port Townsend, WA
National Provider Identifier
1154950533
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT61048151 Issued in WA
Practice address
112 Kala Square PL Ste 2
Port Townsend, WA 98368-9810
Phone
(360) 390-5844
NPI assigned
Apr 7, 2020
Last updated
Dec 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 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 NT61048151 WA Primary

Addresses

Primary practice location

112 Kala Square PL Ste 2
Port Townsend, WA 98368-9810

Mailing address

PO Box 1421
Port Hadlock, WA 98339-1421
Phone (425) 780-3131

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
NT61048151WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Hearth Natural Medicine a Nonprofit Community Clinic Naturopath CurrentSince May 1, 2020 Accepting new patients

Locations

1811 Irondale Rd
Port Hadlock, WA 98339

112 Kala Square Pl
Ste 2
Port Townsend, WA 98368
Phone (360) 316-9100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1154950533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1421",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983391421",
            "telephone_number": "425-780-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KALA SQUARE PL STE 2",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983689810",
            "telephone_number": "360-390-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORNSON",
        "first_name": "REBECCA",
        "middle_name": "EULALIA",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61048151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.