Laura Elayne Firetag, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60524427 Issued in WA

Practice address

803 39TH Ave SW
Suite F
Puyallup, WA 98373-3692

Phone

(253) 848-1055

Fax

(844) 724-2118

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Magnolia Naturopathic Medicine, LLC

  • Medical Specialty Clinic/Center
  • Puyallup, WA
  • NPI 1043695547
  NPD (past) Authorized official
• Puyallup Wellness Center

  • Naturopath
  • Puyallup, WA
  • NPI 1508242900
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1235537234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 39TH AVE SW",
            "address_2": "SUITE F",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733692",
            "telephone_number": "253-848-1055",
            "fax_number": "844-724-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 39TH AVE SW",
            "address_2": "SUITE F",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733692",
            "telephone_number": "253-848-1055",
            "fax_number": "844-724-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRETAG",
        "first_name": "LAURA",
        "middle_name": "ELAYNE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60524427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Finley
• Ethan Jameson Finley, LMT
• Ryan Patrick Finn, D.O.
• Kevin Bernard Finnigan, PA-C
• Cassandra Fiorina, LICSW
• Erika Fisch
• Stephanie Virginia Fischer, LMT
• Holly Fish, MD
• Michael Wesley Fish, LPN
• Susan H Fish, PA-C

• Naturopath in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.