Active NPI
Elissa J Mullen, N.D.
- Naturopath
- Seattle, WA
National Provider Identifier
1336356989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT00001570
- Practice address
- 5617 California Ave SW
Seattle, WA 98136-1514 - Phone
- (206) 388-2929
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT00001570 | WA | Primary |
Addresses
Primary practice location
5617 California Ave SW
Seattle, WA 98136-1514
Mailing address
5617 California Ave SW
Seattle, WA 98136-1514
Phone (206) 388-2929
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
| License | State | Type | Specialty |
|---|---|---|---|
| NT00001570 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1336356989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5617 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361514",
"telephone_number": "206-388-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5617 CALIFORNIA AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361514",
"telephone_number": "206-388-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "ELISSA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT00001570",
"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 May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.