Active NPI
Healthy Roots Clinic LLC
- Naturopath
- Amboy, WA
National Provider Identifier
1417864778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Legal business name
- HEALTHY ROOTS CLINIC LLC
- Practice address
- 21101 NE Cedar Creek Rd
Amboy, WA 98601-3802 - Phone
- (303) 815-7346
- NPI assigned
- Aug 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anaheed Jackson, ND
- Title
- Owner
- Phone
- (303) 815-7346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | Primary |
Addresses
Primary practice location
21101 NE Cedar Creek Rd
Amboy, WA 98601-3802
Mailing address
PO Box 340
Battle Ground, WA 98604-0340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1417864778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986040340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21101 NE CEDAR CREEK RD",
"city": "AMBOY",
"state": "WA",
"postal_code": "986013802",
"telephone_number": "303-815-7346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY ROOTS CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "ANAHEED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-815-7346",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amboy, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.