Individual provider Active NPI

Carolyn Lee Bearss, ND

  • Naturopath
  • Kirkland, WA
National Provider Identifier
1619255320
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60134517 Issued in WA
Practice address
10427 NE 109TH St
Kirkland, WA 98033-4454
Phone
(206) 883-1689
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60134517 WA Primary

Addresses

Primary practice location

10427 NE 109TH St
Kirkland, WA 98033-4454

Mailing address

10427 NE 109TH St
Kirkland, WA 98033-4454
Phone (206) 883-1689

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
NT60134517WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1619255320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10427 NE 109TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334454",
            "telephone_number": "206-883-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10427 NE 109TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334454",
            "telephone_number": "206-883-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARSS",
        "first_name": "CAROLYN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60134517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.