NPIMap

Organization Active NPI

Healthy Balance Natural Medicine, PLLC

  • Medical Specialty Clinic/Center
  • Everett, WA
National Provider Identifier
1255674842
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
NT00001544 Issued in WA
Legal business name
HEALTHY BALANCE NATURAL MEDICINE, PLLC
Practice address
2804 Grand Ave
Ste 300
Everett, WA 98201-3430
Phone
(425) 258-4633
Fax
(425) 258-4644
NPI assigned
Apr 1, 2013
Last updated
Apr 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Dr. Kevin D Shaw, ND, LACNPI 1659570893
Title
Owner
Phone
(425) 258-4633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NT00001544 WA Primary

Addresses

Primary practice location

2804 Grand Ave
Ste 300
Everett, WA 98201-3430

Mailing address

2804 Grand Ave
Ste 300
Everett, WA 98201-3430
Phone (425) 258-4633

National Provider Directory

National Provider Directory
Tax ID family
Healthy Balance Natural Medicine PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1255674842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 GRAND AVE",
            "address_2": "STE 300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013430",
            "telephone_number": "425-258-4633",
            "fax_number": "425-258-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 GRAND AVE",
            "address_2": "STE 300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013430",
            "telephone_number": "425-258-4633",
            "fax_number": "425-258-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY BALANCE NATURAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-258-4633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "NT00001544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

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