Active NPI
Elisa L Minerich, ND
- Naturopath
- Mount Vernon, WA
National Provider Identifier
1467706671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60301104
- Practice address
- 1202 S 2ND St
Suite D
Mount Vernon, WA 98273-4858 - Phone
- (503) 347-7385
- NPI assigned
- Nov 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60301104 | WA | Primary |
Addresses
Primary practice location
1202 S 2ND St
Suite D
Mount Vernon, WA 98273-4858
Mailing address
1202 S 2ND St
Suite D
Mount Vernon, WA 98273-4858
Phone (503) 347-7385
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
| License | State | Type | Specialty |
|---|---|---|---|
| NT60301104 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379808000000",
"number": "1467706671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 S 2ND ST",
"address_2": "SUITE D",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734858",
"telephone_number": "503-347-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 S 2ND ST",
"address_2": "SUITE D",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734858",
"telephone_number": "503-347-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINERICH",
"first_name": "ELISA",
"middle_name": "L",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-09",
"last_updated": "2013-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60301104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.