Evelyn Le Ellis, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NATU.NT.61193852 Issued in WA

Practice address

1820 Black Lake Blvd SW Ste 101C
Olympia, WA 98512-5619

Phone

(360) 339-6169

Fax

(360) 622-3366

NPI assigned

Jun 24, 2021

Last updated

Oct 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prolific Well

  • Naturopath
  • Olympia, WA
  • NPI 1316836687
  NPD
• Alpine Integrated Medicine LLC

  • Naturopath
  • Redmond, WA
  • NPI 1043597578
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1528637436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 BLACK LAKE BLVD SW STE 101C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125619",
            "telephone_number": "360-339-6169",
            "fax_number": "360-622-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 BLACK LAKE BLVD SW STE 101C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125619",
            "telephone_number": "360-339-6169",
            "fax_number": "360-622-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "EVELYN",
        "middle_name": "LE",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NATU.NT.61193852",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "NATU.NT.61193852",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WA",
            "license": "NATU.NT.61193852",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "WA",
            "license": "NATU.NT.61193852",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "WA",
            "license": "NATU.NT.61193852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "health@prolificwell.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1820 Black Lake Blvd SW Ste 101C",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985125619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://prolificwell.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1820 Black Lake Blvd SW Ste 101C",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985125619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Elliott, CP61279999
• Laura K Elliott, LMP
• Olivia Traver Ellis-Jenko, OTR/L
• Amber Ellis, L.M.P
• Elizabeth Ellis
• Fred E Ellis, DPD DENTURIST OF PRO
• Harri-Ann Donna Ellis
• Heidi Ellis, RDH
• Kelly Lynn Ellis, BSN, RN, CDCES
• Kailey Jayckline Ellison, WHNP

• Naturopath in Olympia, WA
• Providers in Olympia, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.