Active NPI
Riley Jo Trevizo, ND
- Naturopath
- Olympia, WA
National Provider Identifier
1578339776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT61494224
- Practice address
- 4214 Shincke Rd NE
Olympia, WA 98506-9622 - Phone
- (360) 970-3448
- NPI assigned
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT61494224 | WA | Primary |
Addresses
Primary practice location
4214 Shincke Rd NE
Olympia, WA 98506-9622
Mailing address
PO Box 7281
Olympia, WA 98507-7281
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
| License | State | Type | Specialty |
|---|---|---|---|
| NT61494224 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1578339776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7281",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985077281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4214 SHINCKE RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985069622",
"telephone_number": "360-970-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVIZO",
"first_name": "RILEY",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT61494224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.