Individual provider Active NPI

Traci Squires Taggart, N.D.

  • Naturopath
  • Seattle, WA
National Provider Identifier
1285969345
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60114221 Issued in WA
Practice address
10564 5TH Ave NE Ste 406
Seattle, WA 98125-7200
Phone
(206) 495-0018
Fax
(206) 309-3336
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60114221 WA Primary

Addresses

Primary practice location

10564 5TH Ave NE Ste 406
Seattle, WA 98125-7200

Mailing address

10564 5TH Ave NE Ste 406
Seattle, WA 98125-7200
Phone (206) 495-0018

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
NT60114221WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Aven Medical Inc Naturopath CurrentSince Mar 1, 2022 Accepting new patients
Evergreen Center for Integrative Medicine PLLC PastSince Dec 12, 2021 Accepting new patients

Locations

10564 5th Ave NE
Ste 406
Seattle, WA 98125
Phone (206) 362-3344

2008 NE 65th St
Seattle, WA 98115
Phone (206) 459-1996

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1285969345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 406",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-495-0018",
            "fax_number": "206-309-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 406",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-495-0018",
            "fax_number": "206-309-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "TRACI",
        "middle_name": "SQUIRES",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60114221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.