Natural Medicines & Family Practice

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1001318 Issued in WA

Legal business name

NATURAL MEDICINES & FAMILY PRACTICE

Practice address

1315 Ruddell Rd SE
Lacey, WA 98503-5701

Phone

(360) 357-8054

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

David Overton, PA-CNPI 1851307003

Title

President

Phone

(360) 357-8054

Specialties & licenses 1

Addresses

Other names 1

• Natural Medicines and Family Practice Other name

Locations

Practitioners 1

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

• David Wayne Overton, PA-C

  • Physician Assistant
  • Lacey, WA
  • NPI 1851307003
  NPD (past) Authorized official

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361577600000",
    "number": "1336486489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035701",
            "telephone_number": "360-357-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 RUDDELL RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035701",
            "telephone_number": "360-357-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL MEDICINES & FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-02-23",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-357-8054",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA1001318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural Medicines and Family Practice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Medical Physician Assistant in Lacey, WA
• Providers in Lacey, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.