Gumshoe Health

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

6035903030010001 Issued in WA

Legal business name

GUMSHOE HEALTH

Practice address

509 Olive Way
Ste 755
Seattle, WA 98101-1720

Phone

(206) 420-8682

Fax

(360) 282-0006

NPI assigned

Apr 14, 2017

Organization subpart

Yes

Parent organization

GUMSHOE HEALTHAs reported in NPPES

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

Authorized official

Name

Dr. Samantha Desmond, ND, LMP

Title

President

Phone

(206) 747-7681

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Gumshoe Health2 organizations share this tax ID, including this one

Part of

Gumshoe Health

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gumshoe Health, P.S

  • Health Service Clinic/Center
  • Monroe, WA
  • NPI 1659725455
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13348/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1174057350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "STE 755",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-420-8682",
            "fax_number": "360-282-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "STE 755",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-420-8682",
            "fax_number": "360-282-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUMSHOE HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUMSHOE HEALTH",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-747-7681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LMP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "6035903030010001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659725455",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Keller Gum, STUDENT IN PROGRAM
• Sari Gumala
• Ramnika Gumber, M.B.B.S.
• Heather Gumiran, CRNA
• Angela Raye Gumm, RN
• Anita Gunaseelan, MD
• Vimal Siva Gunasekaran, MD
• Sarah Anne Gunby
• Thomas C Gunby, MD
• Lauren Michelle Gunderman, MD

• Multi-Specialty Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.