Organization Active NPI

Edmonds Wellness Clinic

  • Naturopath
  • Edmonds, WA
National Provider Identifier
1427489392
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT00000513 Issued in WA
Legal business name
EDMONDS WELLNESS CLINIC
Practice address
7935 216TH St SW
Ste E
Edmonds, WA 98026-7941
Phone
(425) 672-2113
Fax
(425) 776-8873
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Mark Nolting, ND, LAC
Title
Owner/Medical Director
Phone
(425) 672-2113

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60201872 WA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00000197 WA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00000028 WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT00000513 WA Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60186080 WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT00001454 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00015521 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00005652 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00024996 WA

Addresses

Primary practice location

7935 216TH St SW
Ste E
Edmonds, WA 98026-7941

Mailing address

7935 216TH St SW
Ste E
Edmonds, WA 98026-7941
Phone (425) 672-2113

National Provider Directory

National Provider Directory
Tax ID family
Edmonds Wellness Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7935 216th St SW
Ste E
Edmonds, WA 98026
Phone (425) 672-2113

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1427489392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 216TH ST SW",
            "address_2": "STE E",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267941",
            "telephone_number": "425-672-2113",
            "fax_number": "425-776-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 216TH ST SW",
            "address_2": "STE E",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267941",
            "telephone_number": "425-672-2113",
            "fax_number": "425-776-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "NOLTING",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-672-2113",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60201872",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000197",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000028",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00000513",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60186080",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001454",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015521",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00005652",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.