Active NPI
Lighthouse Natural Medicine, PLLC
- Non-Pharmacy Dispensing Site
- Mukilteo, WA
National Provider Identifier
1407201569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- NT00001592
- Legal business name
- LIGHTHOUSE NATURAL MEDICINE, PLLC
- Practice address
- 117 Park Ave
Mukilteo, WA 98275-1619 - Phone
- (425) 789-1779
- Fax
- (888) 431-8819
- NPI assigned
- Apr 26, 2016
- Organization subpart
- Yes
- Parent organization
- LIGHTHOUSE NATURAL MEDICINE, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maegan Knutson, ND
- Title
- Owner
- Phone
- (425) 789-1779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | NT00001592 | WA | Primary |
Addresses
Primary practice location
117 Park Ave
Mukilteo, WA 98275-1619
Mailing address
2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 943-4180
National Provider Directory
National Provider Directory- Part of
- Lighthouse Natural Medicine PLLC
Interoperability endpoints
- https://api.platform.athenahealth.com/26114/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Naturopath
- Mukilteo, WA
- NPI 1487001863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461628800000",
"number": "1407201569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR",
"address_2": "SUITE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771726",
"telephone_number": "310-943-4180",
"fax_number": "888-431-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 PARK AVE",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982751619",
"telephone_number": "425-789-1779",
"fax_number": "888-431-8819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTHOUSE NATURAL MEDICINE, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIGHTHOUSE NATURAL MEDICINE, PLLC",
"enumeration_date": "2016-04-26",
"last_updated": "2016-04-26",
"status": "A",
"authorized_official_last_name": "KNUTSON",
"authorized_official_first_name": "MAEGAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-789-1779",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "WA",
"license": "NT00001592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.