Keystone Natural Medicine, LLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT.60186080 Issued in WA

Legal business name

KEYSTONE NATURAL MEDICINE, LLC

Practice address

30 Lake Shore PLZ
Suite B
Kirkland, WA 98033-6175

Phone

(425) 822-4325

Fax

(425) 284-2499

NPI assigned

Aug 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Danika Cheryl Yuko Odama, ND, EAMPNPI 1720380041

Title

Owner

Phone

(425) 822-4325

Specialties & licenses 2

Addresses

Practitioners 1

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

• Danika C Y Odama, ND, LAC

  • Naturopath
  • Snohomish, WA
  • NPI 1720380041

  Acupuncturist

  NPD Authorized official

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1295168946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 212TH ST SW",
            "address_2": "#G203",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432088",
            "telephone_number": "206-321-6913",
            "fax_number": "425-284-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LAKE SHORE PLZ",
            "address_2": "SUITE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336175",
            "telephone_number": "425-822-4325",
            "fax_number": "425-284-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE NATURAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "ODAMA",
        "authorized_official_first_name": "DANIKA",
        "authorized_official_middle_name": "CHERYL YUKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-822-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60201872",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT.60186080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kestra Medical Technology Services, Inc.
• Jason C Ketcham, LMP
• Heather D. Kettner
• Jacqueline Rene Kevin, L.M.P.
• Shaunie L Keys, M.D.
• Nahid Khaghani
• Sahar Khalaj, DO
• Jad Khalil
• Khanhlam K Phan DDS PLLC
• Rashi Khanna, M.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.