Metamorphe Health Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

NT60613575 Issued in WA

Legal business name

METAMORPHE HEALTH CLINIC

Practice address

3976 E. Harbor Road
Langley, WA 98260

Phone

(360) 221-2050

NPI assigned

Apr 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Susan Smith, ND

Title

President

Phone

(360) 969-0291

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Elizabeth Azar, ND

  • Naturopath
  • Langley, WA
  • NPI 1932556271
  NPD (past)
• Stacy Ann Wallace, N.D.

  • Naturopath
  • Langley, WA
  • NPI 1588131866
  NPD (past)

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1477907756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1072",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982491072",
            "telephone_number": "360-221-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3976 E. HARBOR ROAD",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "98260",
            "telephone_number": "360-221-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHE HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-969-0291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "NT60613575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Payne Martinez, LCSW
• Patricia Irene Zibung Matthews, DR
• Jessca McCord, L.AC.
• Kristine McInvaille, COTA/L
• Tessa May McLachlan, L.M.P.
• Celia Anne Michael, PH.D.
• Tim D Morley, MASSAGE THERAPIST
• Eric Mulholland
• Olivia Murphy
• Shelby Serena Newbauer-Hinders, LICSW

• All providers in Langley, WA
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.