Individual provider Active NPI

Tracy S McDaniel, ND,LM

  • Naturopath
  • Seattle, WA
National Provider Identifier
1427048651
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT1136 Issued in WA
Practice address
6327 22ND Ave NE
Seattle, WA 98115-6919
Phone
(206) 363-5555
Fax
(206) 363-5533
NPI assigned
Oct 27, 2005
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT1136 WA Primary

Addresses

Primary practice location

6327 22ND Ave NE
Seattle, WA 98115-6919

Mailing address

6327 22ND Ave NE
Seattle, WA 98115-6919
Phone (206) 363-5555

Other identifiers 2

IdentifierTypeStateIssuer
3567MCOtherWAREGENCE
8352494MedicaidWA

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

LicenseStateTypeSpecialty
NT1136WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
One Sky Family Medicine, PLLC Naturopath CurrentSince Oct 20, 2019 Accepting new patients
Seattle Natural Family Medicine, PLLC Naturopath CurrentSince Sep 25, 2019 Accepting new patients

Locations

6327 22nd Ave NE
Seattle, WA 98115
Phone (206) 363-5555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4621/brand/7/csg/1/fhir/r4
  • Direct secure messaging: tracy.mcdaniel.2@4621.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1427048651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 22ND AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156919",
            "telephone_number": "206-363-5555",
            "fax_number": "206-363-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 22ND AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156919",
            "telephone_number": "206-363-5555",
            "fax_number": "206-363-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "TRACY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "ND,LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT1136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "3567MC",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8352494",
            "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 Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.