Organization Active NPI

Market Street Integrative Health

  • Naturopath
  • Kirkland, WA
National Provider Identifier
1215092093
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT1154 Issued in WA
Legal business name
MARKET STREET INTEGRATIVE HEALTH
Practice address
607 Market Street
Suite a
Kirkland, WA 98033
Phone
(425) 822-8356
Fax
(425) 822-7842
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Scott D Rose, ND, LAC
Title
Naturopath & Acupuncturist
Phone
(425) 576-8017

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC2255 WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT1154 WA Primary

Addresses

Primary practice location

607 Market Street
Suite a
Kirkland, WA 98033

Mailing address

607 Market Street
Suite a
Kirkland, WA 98033
Phone (425) 822-8356

Other identifiers 2

IdentifierTypeStateIssuer
NT1154OtherWANATUROPATHIC LICENSE
AC2255OtherWAACUPUNCTURE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1215092093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 MARKET STREET",
            "address_2": "SUITE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98033",
            "telephone_number": "425-822-8356",
            "fax_number": "425-822-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 MARKET STREET",
            "address_2": "SUITE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98033",
            "telephone_number": "425-822-8356",
            "fax_number": "425-822-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET STREET INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "NATUROPATH & ACUPUNCTURIST",
        "authorized_official_telephone_number": "425-576-8017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC2255",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT1154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATUROPATHIC LICENSE",
            "identifier": "NT1154",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "AC2255",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.