NPIMap

Organization Active NPI

Sky River Naturopathic Center LLC

Doing business as Sky River Natural Health Center

  • Primary Care Clinic/Center
  • Sultan, WA
National Provider Identifier
1174901169
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
NT 00001534 Issued in WA
Legal business name
SKY RIVER NATUROPATHIC CENTER LLC
Doing business as
Sky River Natural Health Center
Practice address
33405 State Route 2
Sultan, WA 98294-8607
Phone
(360) 793-0206
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Brandy Lipscomb, NDNPI 1255482246
Title
Medical Director
Phone
(360) 793-0206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NT60505327 WA
Primary Care Clinic/Center 261QP2300X NT 00001534 WA Primary

Addresses

Primary practice location

33405 State Route 2
Sultan, WA 98294-8607

Mailing address

PO Box 1568
Sultan, WA 98294-1568

Other identifiers 1

IdentifierTypeStateIssuer
2032281MedicaidWA

Other names 1

  • Sky River Natural Health Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1174901169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "SULTAN",
            "state": "WA",
            "postal_code": "982941568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33405 STATE ROUTE 2",
            "city": "SULTAN",
            "state": "WA",
            "postal_code": "982948607",
            "telephone_number": "360-793-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY RIVER NATUROPATHIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "LIPSCOMB",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-793-0206",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "NT60505327",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "NT 00001534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032281",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sky River Natural Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sultan, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.