Individual provider Active NPI

Suttinee Hannah Sansavath, ND

  • Naturopath
  • Tacoma, WA
National Provider Identifier
1578207635
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT61347053 Issued in WA
Practice address
1944 Pacific Ave Ste 301a
Tacoma, WA 98402-3121
Phone
(360) 447-8486
Fax
(206) 339-1628
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X WA
Naturopath 175F00000X NT61347053 WA Primary

Addresses

Primary practice location

1944 Pacific Ave Ste 301a
Tacoma, WA 98402-3121

Mailing address

1210 Tacoma Ave S Apt 506
Tacoma, WA 98402-2023
Phone (903) 227-9773

Other practice location 1

104 23rd Ave SE
Puyallup, WA 98372-4527
Phone (253) 268-2170

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
NT61347053WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Conflict Naturopath Current Accepting new patients
Restore Integrative Health PLLC Naturopath CurrentSince Nov 3, 2024 Accepting new patients
Shelby Naturopathy, PLLC PastSince Oct 1, 2022 Accepting new patients
Natural Life Medicine Naturopath PastSince Apr 1, 2023 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1578207635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 TACOMA AVE S APT 506",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022023",
            "telephone_number": "903-227-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 PACIFIC AVE STE 301A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023121",
            "telephone_number": "360-447-8486",
            "fax_number": "206-339-1628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 23rd Ave SE",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983724527",
            "country_code": "US",
            "telephone_number": "253-268-2170",
            "fax_number": "253-268-0658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANSAVATH",
        "first_name": "SUTTINEE",
        "middle_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61347053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.