Kimberly Ann Bruneau, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT61057624 Issued in WA

Practice address

617 5TH Ave S
Edmonds, WA 98020-3452

Phone

(206) 629-5180

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15297/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1356970545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 200TH ST SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980266631",
            "telephone_number": "760-877-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 5TH AVE S",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203452",
            "telephone_number": "206-629-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNEAU",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61057624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Ann Brooks, MA CCC-SLP
• Anna E Brown, D.P.T.
• Asia Marie Brown, LMT
• Deborah Brown
• Cornelia Brujban-Tomici
• Lauren Rebekah Buchanan, ATC
• Melody Mika Buchanan, LMT
• Hillary Marie Bucher-Brown, LMFT
• Sylvia Thi Bui, RPH
• Ella Burbach

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.