Individual provider Active NPI

Samantha Rose Guthrie, ND, LAC

  • Naturopath
  • Seattle, WA
National Provider Identifier
1396222691
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60892736 Issued in WA
Practice address
1215 4TH Ave Ste 1000
Seattle, WA 98161-1017
Phone
(206) 622-9001
Fax
(206) 622-4311
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60892736 WA Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60901212 WA

Addresses

Primary practice location

1215 4TH Ave Ste 1000
Seattle, WA 98161-1017

Mailing address

1215 4TH Ave Ste 1000
Seattle, WA 98161-1017
Phone (206) 622-9001

Other identifiers 1

IdentifierTypeStateIssuer
2118781MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC60901212WAMDAcupuncturist
NT60892736WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Rehabilitation and Wellness Center Inc P S Acupuncturist CurrentSince Dec 1, 2019 Accepting new patients
Endless Mountains Holistic Health, LLC Acupuncturist Current Accepting new patients

Locations

21301 State Route 410 E
Bonney Lake, WA 98391
Phone (253) 862-2533

1215 4th Ave
Ste 1000
Seattle, WA 98161
Phone (206) 622-9001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1396222691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 4TH AVE STE 1000",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981611017",
            "telephone_number": "206-622-9001",
            "fax_number": "206-622-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 4TH AVE STE 1000",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981611017",
            "telephone_number": "206-622-9001",
            "fax_number": "206-622-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "ND, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60892736",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60901212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118781",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.