Active NPI
Jeremiah Michael Stevens, N.D.
- Naturopath
- Spokane Valley, WA
National Provider Identifier
1205968534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT000001415
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NT00001415 | Other | WA | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| NAT-71 | ID | MD | Naturopath |
| NT000001415 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Naturopath
- Liberty Lake, WA
- NPI 1114227816
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.