Individual provider Active NPI

Candice Staniek, ND

  • Naturopath
  • Newcastle, WA
National Provider Identifier
1508216011
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60648856 Issued in WA
Practice address
12828 Newcastle Way
Apt 103
Newcastle, WA 98056-1335
Phone
(425) 209-0607
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60648856 WA Primary

Addresses

Primary practice location

12828 Newcastle Way
Apt 103
Newcastle, WA 98056-1335

Mailing address

12828 Newcastle Way
Apt 103
Newcastle, WA 98056-1335
Phone (425) 209-0607

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
NT60648856WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1508216011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 NEWCASTLE WAY",
            "address_2": "APT 103",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980561335",
            "telephone_number": "425-209-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 NEWCASTLE WAY",
            "address_2": "APT 103",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980561335",
            "telephone_number": "425-209-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANIEK",
        "first_name": "CANDICE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60648856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.