Justin K. Taylor, N.M.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60724012 Issued in WA

Practice address

600 E Main St
Elma, WA 98541-9560

Phone

(360) 346-2222

NPI assigned

Oct 25, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Grays Harbor County Public Hospital District No. 1

  dba Summit Pacific HealthCare Clinic

  • Rural Health Clinic/Center
  • Elma, WA
  • NPI 1942554183
  NPD (past)

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

{
    "created_epoch": "1256428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1558697698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419560",
            "telephone_number": "360-346-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419560",
            "telephone_number": "360-346-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JUSTIN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "N.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-25",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "10-1178",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60724012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074886",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Lynn Starkey, CDP
• Joel Ronald Joseph Stewart, ARNP
• Adelle S Stubblefield, LICSW
• Karlynn Studley, MD
• Ashley M Taylor, ARNP
• Nicole Antonucci Taylor, ND
• Erika L. Thomas, LMP
• Amy E. Thomason, LMP
• Johanna M Thompson, PHARM D
• Michael A Tisdale, CP00003857

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.