Active NPI
Mackenzie Catherine Fuller, ND
- Naturopath
- Yakima, WA
National Provider Identifier
1639749070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Practice address
- 307 S 12TH Ave Ste 9
Yakima, WA 98902-3138 - Phone
- (509) 469-8870
- NPI assigned
- Jun 28, 2021
- Last updated
- Jun 28, 2021
- 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 | Primary |
Addresses
Primary practice location
307 S 12TH Ave Ste 9
Yakima, WA 98902-3138
Mailing address
85 Rimfire Cir
Reno, NV 89519-2989
Phone (775) 848-7007
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heidi J. Robel, ND, Lac, PC | Naturopath | Current | Accepting new patients |
Locations
307 S 12th Ave
Ste 9
Yakima, WA 98902
Phone (509) 248-4900
Interoperability endpoints
- mackenzie.fuller.1@26959.direct.athenahealth.com
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": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1639749070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 RIMFIRE CIR",
"city": "RENO",
"state": "NV",
"postal_code": "895192989",
"telephone_number": "775-848-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S 12TH AVE STE 9",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023138",
"telephone_number": "509-469-8870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "MACKENZIE",
"middle_name": "CATHERINE",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.