Organization Active NPI

Ab Naturopath LLC

  • Naturopath
  • Kelso, WA
National Provider Identifier
1336862945
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
AB NATUROPATH LLC
Practice address
201B Allen St
Kelso, WA 98626-3403
Phone
(564) 208-6636
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Dr. Laura L Bloom, NDNPI 1356859466
Title
Doctor, Manager
Phone
(602) 501-5491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X Primary

Addresses

Primary practice location

201B Allen St
Kelso, WA 98626-3403

Mailing address

201B Allen St
Kelso, WA 98626-3403
Phone (563) 208-6636

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL na

National Provider Directory

National Provider Directory

Locations

201 Allen St
#B
Kelso, WA 98626
Phone (564) 208-6636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1336862945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201B ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986263403",
            "telephone_number": "563-208-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201B ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986263403",
            "telephone_number": "564-208-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB NATUROPATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR, MANAGER",
        "authorized_official_telephone_number": "602-501-5491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "201B Allen St",
            "city": "Kelso",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986263403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kelso, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.