Organization Active NPI

Equilibrium Natural Health, LLC

  • Preferred Provider Organization
  • Silverdale, WA
National Provider Identifier
1386189983
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
NT 60508818 Issued in WA
Legal business name
EQUILIBRIUM NATURAL HEALTH, LLC
Practice address
9481 Bayshore Dr NW
Ste. 103a
Silverdale, WA 98383-8377
Phone
(360) 698-4141
Fax
(877) 343-5484
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Dr. Cy Robert Fisher, N.D.NPI 1679977201
Title
Managing Physician/Owner/Operator
Phone
(360) 698-4141

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
Preferred Provider Organization 305R00000X NT 60508818 WA Primary

Addresses

Primary practice location

9481 Bayshore Dr NW
Ste. 103a
Silverdale, WA 98383-8377

Mailing address

9481 Bayshore Dr NW
Ste. 103a
Silverdale, WA 98383-8377
Phone (360) 698-4141

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2152187Equilibrium Natural Health9481 Bayshore Dr NW Ste 103a, Silverdale, WA 98383Certificate of waiverApr 4, 2028

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.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1386189983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9481 BAYSHORE DR NW",
            "address_2": "STE. 103A",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838377",
            "telephone_number": "360-698-4141",
            "fax_number": "877-343-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9481 BAYSHORE DR NW",
            "address_2": "STE. 103A",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838377",
            "telephone_number": "360-698-4141",
            "fax_number": "877-343-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM NATURAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN/OWNER/OPERATOR",
        "authorized_official_telephone_number": "360-698-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "NT 60508818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.