NPIMap

Organization Active NPI

Vashon Natural Medicine

  • General Practice Physician
  • Vashon, WA
National Provider Identifier
1376964247
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
NT0000874 Issued in WI
Legal business name
VASHON NATURAL MEDICINE
Practice address
18913 Vashon Hwy SW
Vashon, WA 98070-5215
Phone
(206) 463-4778
Fax
(206) 463-4791
NPI assigned
Dec 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Dr. Kelly Wright, NDNPI 1942389994
Title
Owner, Physician
Phone
(206) 463-4778

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X NT0000874 WI Primary

Addresses

Primary practice location

18913 Vashon Hwy SW
Vashon, WA 98070-5215

Mailing address

18913 Vashon Hwy SW
Vashon, WA 98070-5215
Phone (206) 463-4778

Other identifiers 1

IdentifierTypeStateIssuer
20131126590616MedicaidWA

National Provider Directory

National Provider Directory

Locations

19330 Vashon Hwy SW
Vashon, WA 98070
Phone (206) 463-4778

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1376964247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18913 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980705215",
            "telephone_number": "206-463-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18913 VASHON HWY SW",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980705215",
            "telephone_number": "206-463-4778",
            "fax_number": "206-463-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASHON NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "206-463-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "WI",
            "license": "NT0000874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20131126590616",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.