Moses Trevizo Jr., ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT61555858 Issued in WA

Practice address

4214 Shincke Rd NE
Olympia, WA 98506-9622

Phone

(505) 947-6437

NPI assigned

May 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1598512972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 SHINCKE RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985069622",
            "telephone_number": "505-947-6437"
        },
        {
            "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": "505-947-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVIZO",
        "first_name": "MOSES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61555858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Angela Traweek, PHARMD, MHA
• Tamia Renee Treesong, LMP
• Susan M. Treharne, ARNP
• Lucas Austen Trerice, D.M.D.
• Jessy Gonzalez Trevizo
• Riley Jo Trevizo, ND
• Spencer Tribwell, LMP
• Maria Charisma Reyes Trinidad, FNP-C
• Edwin A Tripp Jr., D.D.S.
• Trisha M Le, DDS PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.