Individual provider Active NPI

Paul Stanley Anderson, ND

  • Naturopath
  • Seattle, WA
National Provider Identifier
1629113303
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT00001504 Issued in WA
Practice address
2150 N. 107TH St
Suite 400
Seattle, WA 98133-9009
Phone
(206) 629-2186
Fax
(206) 420-8393
NPI assigned
Feb 21, 2007
Last updated
Aug 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT00001504 WA Primary

Addresses

Primary practice location

2150 N. 107TH St
Suite 400
Seattle, WA 98133-9009

Mailing address

2150 N. 107TH St.
Suite 400
Seattle, WA 98133-9009
Phone (206) 629-2186

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
NT00001504WAMDNaturopath

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1629113303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N. 107TH ST.",
            "address_2": "SUITE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339009",
            "telephone_number": "206-629-2186",
            "fax_number": "206-420-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N. 107TH ST",
            "address_2": "SUITE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339009",
            "telephone_number": "206-629-2186",
            "fax_number": "206-420-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PAUL",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001504",
            "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 Aug 27, 2014; 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.