Individual provider Active NPI

Adeline Michelle Kell, ND

  • Naturopath
  • Woodland, WA
National Provider Identifier
1235265935
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
00001347 Issued in WA
Practice address
339 Bozarth Ave
Woodland, WA 98674-8424
Phone
(360) 841-8336
Fax
(360) 841-8428
NPI assigned
Feb 26, 2007
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1299 OR
Naturopath 175F00000X 00001347 WA Primary

Addresses

Primary practice location

339 Bozarth Ave
Woodland, WA 98674-8424

Mailing address

39809 NE 94TH Ave
La Center, WA 98629-4813
Phone (503) 753-6352

Other identifiers 1

IdentifierTypeStateIssuer
277820MedicaidOR

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
1299ORMDNaturopath
00001347WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1235265935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39809 NE 94TH AVE",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986294813",
            "telephone_number": "503-753-6352",
            "fax_number": "360-841-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 BOZARTH AVE",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748424",
            "telephone_number": "360-841-8336",
            "fax_number": "360-841-8428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "ADELINE",
        "middle_name": "MICHELLE",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1299",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "00001347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277820",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.