Active NPI
Samantha Rose Guthrie, ND, LAC
- Naturopath
- Seattle, WA
National Provider Identifier
1396222691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60892736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60892736 | WA | Primary |
| Acupuncturist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2118781 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC60901212 | WA | MD | Acupuncturist |
| NT60892736 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graham Rehabilitation and Wellness Center Inc P S | Acupuncturist | Current | 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.
-
dba Graham Chiropractic Center Inc
- Chiropractor
- Seattle, WA
- NPI 1073706693
Acupuncturist
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.