Active NPI
Vanessa Dziuba Wilkie, ND
- Naturopath
- Bellevue, WA
National Provider Identifier
1245507920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60256856
- Practice address
- 2025 112TH Ave NE
BLDG 2, Suite 300
Bellevue, WA 98004 - Phone
- (425) 452-9366
- Fax
- (425) 452-5683
- NPI assigned
- Nov 22, 2011
- Last updated
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60256856 | WA | Primary |
Addresses
Primary practice location
2025 112TH Ave NE
BLDG 2, Suite 300
Bellevue, WA 98004
Mailing address
2025 112TH Ave NE
BLDG 2, Suite 300
Bellevue, WA 98004
Phone (425) 452-9366
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 |
|---|---|---|---|
| NT60256856 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrationworks LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Contractor
- Bellevue, WA
- NPI 1740446772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1245507920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 112TH AVE NE",
"address_2": "BLDG 2, SUITE 300",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-452-9366",
"fax_number": "425-452-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 112TH AVE NE",
"address_2": "BLDG 2, SUITE 300",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-452-9366",
"fax_number": "425-452-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKIE",
"first_name": "VANESSA",
"middle_name": "DZIUBA",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60256856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.