Active NPI
Tamara Ann Macdonald, ND LAC
- Naturopath
- Brunswick, OH
National Provider Identifier
1407073489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT1179
- Practice address
- 1814 Pearl Rd
Suite B
Brunswick, OH 44212 - Phone
- (330) 460-5155
- Fax
- (330) 460-5155
- NPI assigned
- Apr 19, 2007
- Last updated
- Sep 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 126 | OH | |
| Naturopath | 175F00000X | NT1179 | WA | Primary |
Addresses
Primary practice location
1814 Pearl Rd
Suite B
Brunswick, OH 44212
Mailing address
1814 Pearl Rd
Suite B
Brunswick, OH 44212
Phone (330) 460-5155
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 |
|---|---|---|---|
| 126 | OH | MD | Acupuncturist |
| NT1179 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1407073489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 PEARL RD",
"address_2": "SUITE B",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "44212",
"telephone_number": "330-460-5155",
"fax_number": "330-460-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 PEARL RD",
"address_2": "SUITE B",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "44212",
"telephone_number": "330-460-5155",
"fax_number": "330-460-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "TAMARA",
"middle_name": "ANN",
"credential": "ND LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OH",
"license": "126",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT1179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.