Organization Active NPI

Nickels Natural Health LLC

  • Naturopath
  • Vancouver, WA
National Provider Identifier
1568703908
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60051160 Issued in WA
Legal business name
NICKELS NATURAL HEALTH LLC
Practice address
301 E McLoughlin Blvd
Suite B
Vancouver, WA 98663-3366
Phone
(360) 818-4218
Fax
(360) 859-4536
NPI assigned
Mar 11, 2013
Last updated
Mar 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Dr. Melinda Nickels, N.D., L.ACNPI 1093960080
Title
Owner, Naturopathic Physician
Phone
(360) 818-4218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC60054014 WA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC01291 OR
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60051160 WA Primary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X 1669 OR

Addresses

Primary practice location

301 E McLoughlin Blvd
Suite B
Vancouver, WA 98663-3366

Mailing address

301 E McLoughlin Blvd
Suite B
Vancouver, WA 98663-3366
Phone (360) 818-4218

National Provider Directory

National Provider Directory

Locations

301 E McLoughlin Blvd
Ste B
Vancouver, WA 98663
Phone (360) 818-4218

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1568703908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E MCLOUGHLIN BLVD",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633366",
            "telephone_number": "360-818-4218",
            "fax_number": "360-859-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MCLOUGHLIN BLVD",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633366",
            "telephone_number": "360-818-4218",
            "fax_number": "360-859-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKELS NATURAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "NICKELS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER, NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "360-818-4218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D., L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60054014",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01291",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60051160",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.