Blossom Natural Health and Wellness

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT00001485 Issued in WA

Legal business name

BLOSSOM NATURAL HEALTH AND WELLNESS

Practice address

415 NE Birch St
Camas, WA 98607-2139

Phone

(360) 834-2732

Fax

(360) 834-3063

NPI assigned

Aug 16, 2012

Last updated

Aug 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Meredith Distante, N.D.NPI 1114969847

Title

Owner/Physician

Phone

(360) 834-2732

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Meredith Jill Distante, N.D.

  • Naturopath
  • Camas, WA
  • NPI 1114969847
  NPD (past) Authorized official
• Brooke Nicole-Dorothy Beck, N.D.

  • Naturopath
  • Camas, WA
  • NPI 1063717346
  NPD (past)
• Bonny E Seal, ND

  • Naturopath
  • Camas, WA
  • NPI 1780916502
  NPD (past)
• Soledad Diaz, ND

  • Naturopath
  • Portland, OR
  • NPI 1184404535
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1356699607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NE BIRCH ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072139",
            "telephone_number": "360-834-2732",
            "fax_number": "360-834-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NE BIRCH ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072139",
            "telephone_number": "360-834-2732",
            "fax_number": "360-834-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM NATURAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "DISTANTE",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "360-834-2732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Christopher Biermann, M.D.
• Sawyer Mark Bierscheid, PHARMD
• Jennifer Bivona, LCSW, LICSW
• Bianca Blanco
• Maria N Bloomfield, LMHC
• Bluestream Counseling LLC
• Body Balance Health and Aesthetics Medicine
• Kevin Pharis Bohn
• Mark A Bollinger
• Olga Boltenkov, LICSW

• Naturopath in Camas, WA
• Providers in Camas, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.