Individual provider Active NPI

Elizabeth Holmes, N.D., L.AC.

  • Naturopath
  • Lynnwood, WA
National Provider Identifier
1548442171
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT1025 Issued in WA
Practice address
4025 176TH PL SW
Lynnwood, WA 98037-7522
Phone
(206) 450-0650
Fax
(425) 615-7186
NPI assigned
Dec 5, 2007
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC677 WA
Naturopath 175F00000X NT1025 WA Primary

Addresses

Primary practice location

4025 176TH PL SW
Lynnwood, WA 98037-7522

Mailing address

4025 176TH PL SW
Lynnwood, WA 98037-7522
Phone (206) 450-0650

Other practice location 1

4205 148th Ave NE
Suite 103
Bellevue, WA 98007-7114
Phone (425) 822-0602

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
AC677WAMDAcupuncturist
NT1025WAMDNaturopath

Interoperability endpoints

  • Direct secure messaging: elizabeth.holmes.1@32189.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1548442171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 176TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377522",
            "telephone_number": "206-450-0650",
            "fax_number": "425-615-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 176TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377522",
            "telephone_number": "206-450-0650",
            "fax_number": "425-615-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4205 148th Ave NE",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980077114",
            "country_code": "US",
            "telephone_number": "425-822-0602",
            "fax_number": "425-822-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "N.D., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC677",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT1025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.