Individual provider Active NPI

Jeremiah Michael Stevens, N.D.

  • Naturopath
  • Spokane Valley, WA
National Provider Identifier
1205968534
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT000001415 Issued in WA
Practice address
1510 N Argonne Rd Ste G
Spokane Valley, WA 99212
Phone
(509) 590-1343
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NAT-71 ID
Naturopath 175F00000X NT000001415 WA Primary

Addresses

Primary practice location

1510 N Argonne Rd Ste G
Spokane Valley, WA 99212

Mailing address

1510 N Argonne Rd Ste G
Spokane Valley, WA 99212-2572
Phone (509) 590-1343

Other practice location 1

21950 E Country Vista Dr
Suite 600
Liberty Lake, WA 99019-6005
Phone (509) 590-1343

Other identifiers 1

IdentifierTypeStateIssuer
NT00001415OtherWASTATE LICENSE

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
NAT-71IDMDNaturopath
NT000001415WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Naturopathic Care Naturopath Past 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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1205968534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 N ARGONNE RD STE G",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122572",
            "telephone_number": "509-590-1343",
            "fax_number": "866-774-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N ARGONNE RD STE G",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99212",
            "telephone_number": "509-590-1343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21950 E Country Vista Dr",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Liberty Lake",
            "state": "WA",
            "postal_code": "990196005",
            "country_code": "US",
            "telephone_number": "509-590-1343",
            "fax_number": "866-774-8216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JEREMIAH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ID",
            "license": "NAT-71",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT000001415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "NT00001415",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.