Sang Jin Nam, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60467294 Issued in WA

Practice address

1603 116TH Ave NE
Ste 111
Bellevue, WA 98004-3009

Phone

(425) 326-1668

Fax

(844) 533-1223

NPI assigned

May 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cascade Health Clinic LLC

  • Naturopath
  • Sultan, WA
  • NPI 1114561156
  NPD (past)

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1316357148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 116TH AVE NE",
            "address_2": "STE 111",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043009",
            "telephone_number": "425-326-1668",
            "fax_number": "844-533-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 116TH AVE NE",
            "address_2": "STE 111",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043009",
            "telephone_number": "425-326-1668",
            "fax_number": "844-533-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Main St",
            "address_purpose": "LOCATION",
            "city": "Sultan",
            "state": "WA",
            "postal_code": "982940197",
            "country_code": "US",
            "telephone_number": "360-793-3883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAM",
        "first_name": "SANG JIN",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60467294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054610",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trey Matthew Nakanishi
• Sophia Ryli Nakasone
• Kara Munira Nakisbendi, M.D.
• Nakisbendimd, PLLC
• Nam PLLC
• Tania Nambo-Escobar, FNP
• Amy Nance
• Jennifer Nance, OT
• Nancy Huenefeld, Inc
• Kathryn Marie Nantz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.