Individual provider Active NPI

Michelle Ann Simon, N.D. PH.D.

  • Naturopath
  • Seattle, WA
National Provider Identifier
1629109707
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT1160 Issued in WA
Practice address
4500 9TH Ave NE Ste 300
Seattle, WA 98105-4762
Phone
(206) 524-0863
Fax
(206) 524-1019
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT1160 WA Primary

Addresses

Primary practice location

4500 9TH Ave NE Ste 300
Seattle, WA 98105-4762

Mailing address

4500 9TH Ave NE Ste 300
Seattle, WA 98105-4762
Phone (206) 524-0863

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NT1160WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1629109707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 9TH AVE NE STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054762",
            "telephone_number": "206-524-0863",
            "fax_number": "206-524-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 9TH AVE NE STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054762",
            "telephone_number": "206-524-0863",
            "fax_number": "206-524-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "N.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT1160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.