Individual provider Active NPI

Matthew Manniello, ND

  • Naturopath
  • Kenmore, WA
National Provider Identifier
1336056860
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Practice address
14500 Juanita Dr NE
Kenmore, WA 98028-4966
Phone
(425) 602-3000
NPI assigned
Aug 27, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X WA Primary

Addresses

Primary practice location

14500 Juanita Dr NE
Kenmore, WA 98028-4966

Mailing address

14500 Juanita Dr NE
Kenmore, WA 98028-4966
Phone (425) 602-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1336056860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 JUANITA DR NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284966",
            "telephone_number": "425-602-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 JUANITA DR NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284966",
            "telephone_number": "425-602-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNIELLO",
        "first_name": "MATTHEW",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.