Individual provider Active NPI

Kimberly Shireen Sandstrom, N.D., L.M.P.

  • Naturopath
  • Des Moines, WA
National Provider Identifier
1215182498
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60059965 Issued in WA
Practice address
26401 Pacific Hwy S Ste 101
Des Moines, WA 98198-9247
Phone
(206) 870-3590
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60059965 WA Primary

Addresses

Primary practice location

26401 Pacific Hwy S Ste 101
Des Moines, WA 98198-9247

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksandstrom20056@healthpoint.direct-ci.com

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
NT60059965WAMDNaturopath

Interoperability endpoints

  • Direct secure messaging: ksandstrom20056@healthpoint.direct-ci.com
  • Direct secure messaging: kimberly.sandstrom.p3@direct.hpc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1215182498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26401 PACIFIC HWY S STE 101",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989247",
            "telephone_number": "206-870-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDSTROM",
        "first_name": "KIMBERLY",
        "middle_name": "SHIREEN",
        "credential": "N.D., L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60059965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksandstrom20056@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "26401 Pacific Hwy S Ste 101",
            "city": "Des Moines",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981989247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.