NPIMap

Organization Active NPI

Fredericksen Naturopathic Clinic, PS Inc

  • Naturopath
  • Renton, WA
National Provider Identifier
1255821997
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
00000737 Issued in WA
Legal business name
FREDERICKSEN NATUROPATHIC CLINIC, PS INC
Practice address
2003 Maple Valley Hwy Ste 212
Renton, WA 98057-3925
Phone
(425) 652-2430
Fax
(425) 291-7899
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Mark Fredericksen, NDNPI 1982777629
Title
President
Phone
(425) 652-2430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 00000737 WA Primary

Addresses

Primary practice location

2003 Maple Valley Hwy Ste 212
Renton, WA 98057-3925

Mailing address

2003 Maple Valley Hwy Ste 212
Renton, WA 98057-3925
Phone (425) 652-2430

Other names 1

  • Natureworks Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2003 Maple Valley Hwy
Ste 212
Renton, WA 98057
Phone (425) 652-2430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1255821997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 MAPLE VALLEY HWY STE 212",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573925",
            "telephone_number": "425-652-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MAPLE VALLEY HWY STE 212",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573925",
            "telephone_number": "425-652-2430",
            "fax_number": "425-291-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSEN NATUROPATHIC CLINIC, PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "FREDERICKSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-652-2430",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "00000737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natureworks Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.