Organization Active NPI

Edgewood Natural Health, LLC

  • Acupuncturist
  • Edgewood, WA
National Provider Identifier
1376740878
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
EDGEWOOD NATURAL HEALTH, LLC
Practice address
3217 Meridian Ave E
Edgewood, WA 98371-2613
Phone
(253) 927-5905
Fax
(253) 321-0219
NPI assigned
Jun 28, 2007
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
John FrostadNPI 1073600375
Title
Owner
Phone
(253) 927-5905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

3217 Meridian Ave E
Edgewood, WA 98371-2613

Mailing address

3217 Meridian Ave E
Edgewood, WA 98371-2613
Phone (253) 927-5905

National Provider Directory

National Provider Directory

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": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1376740878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 MERIDIAN AVE E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983712613",
            "telephone_number": "253-927-5905",
            "fax_number": "253-321-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 MERIDIAN AVE E",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983712613",
            "telephone_number": "253-927-5905",
            "fax_number": "253-321-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD NATURAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "FROSTAD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-927-5905"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.