Individual provider Active NPI

Rebekah Thompson, ND

  • Naturopath
  • Puyallup, WA
National Provider Identifier
1164915989
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT61018233 Issued in WA
Practice address
104 23Rd Ave SE
Puyallup, WA 98372-4527
Phone
(253) 268-2170
NPI assigned
Jun 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 18-1712 AZ
Naturopath 175F00000X NT61018233 WA Primary

Addresses

Primary practice location

104 23Rd Ave SE
Puyallup, WA 98372-4527

Mailing address

104 23Rd Ave SE
Puyallup, WA 98372-4527
Phone (253) 268-2170

Other practice location 1

2601 N 3rd St Ste 304
Phoenix, AZ 85004-1193
Phone (602) 908-5422

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
18-1712AZMDNaturopath
NT61018233WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Life Medicine Naturopath CurrentSince Jan 5, 2020 Accepting new patients

Locations

104 23rd Ave SE
Puyallup, WA 98372
Phone (253) 200-0415

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1164915989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 23RD AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724527",
            "telephone_number": "253-268-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 23RD AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724527",
            "telephone_number": "253-268-2170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 N 3rd St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041193",
            "country_code": "US",
            "telephone_number": "602-908-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "REBEKAH",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "18-1712",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61018233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.