Individual provider Active NPI

Kimberly Marie Kalfas, ND

  • Naturopath
  • Port Angeles, WA
National Provider Identifier
1164789657
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT0001442 Issued in WA
Practice address
162 S Barr Rd
Port Angeles, WA 98362-9202
Phone
(360) 452-5542
Fax
(360) 452-7460
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT0001442 WA Primary

Addresses

Primary practice location

162 S Barr Rd
Port Angeles, WA 98362-9202

Mailing address

162 S Barr Rd
Port Angeles, WA 98362-9202
Phone (360) 452-5542

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
NT0001442WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Concepts by Mary Ruth Naturopath PastSince Mar 27, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1164789657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S BARR RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629202",
            "telephone_number": "360-452-5542",
            "fax_number": "360-452-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S BARR RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629202",
            "telephone_number": "360-452-5542",
            "fax_number": "360-452-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALFAS",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT0001442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.