Organization Active NPI

Healthy Roots Clinic LLC

  • Naturopath
  • Amboy, WA
National Provider Identifier
1417864778
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
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

Updated by the provider on Aug 24, 2026

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)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Verify at the official NPI Registry.