Fresonke ND, Inc

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT00000818 Issued in WA

Legal business name

FRESONKE ND, INC

Practice address

147 Madrone LN N
Bainbridge Island, WA 98110-1862

Phone

(206) 780-2626

Fax

(206) 780-0964

NPI assigned

Oct 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jill K Fresonke, ND

Title

President

Phone

(206) 780-2626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Island Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1356592240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MADRONE LN N",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101862",
            "telephone_number": "206-780-2626",
            "fax_number": "206-780-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MADRONE LN N",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101862",
            "telephone_number": "206-780-2626",
            "fax_number": "206-780-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESONKE ND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "FRESONKE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-780-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00000818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962545079",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orlando Joseph Fugaro, DDS,MSD
• Carden Kendrick Gambee, D.O.
• Madeline Elizabeth Garfunkel
• Shannon D. Gates, M.D.

• Naturopath in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.