Active NPI
Carolyn Iacullo Nygaard, N.D
- Naturopath
- Astoria, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1717
- Practice address
- 757 W Marine Dr Ste 103
Astoria, OR 97103-5848 - Phone
- (207) 209-4858
- Fax
- (207) 405-2199
- NPI assigned
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NATU.NT.61208539 | WA | |
| Naturopath | 175F00000X | ND1546 | CA | |
| Naturopath | 175F00000X | 1717 | OR | Primary |
| Naturopath | 175F00000X | NP839 | ME |
Addresses
Primary practice location
757 W Marine Dr Ste 103
Astoria, OR 97103-5848
Mailing address
757 W Marine Dr Ste 103
Astoria, OR 97103-5848
Phone (207) 209-4858
Other practice location 1
254 Commercial St Ste 258
Portland, ME 04101-4664
Phone (207) 209-4858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500642404 | Medicaid | OR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@naturopathicbydesign.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | info@naturopathicbydesign.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND1546 | CA | MD | Naturopath |
| NP839 | ME | MD | Naturopath |
| 1717 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Earth Source Medicine | Current | Accepting new patients | |
| Astoria Birth Center Providers | Naturopath | Past | Accepting new patients |
Locations
254 Commercial St
Ste 258
Portland, ME 04101
Phone (207) 209-4858
757 W Marine Dr
Ste 103
Astoria, OR 97103
Phone (207) 209-4858
1490 Commercial St
Ste 200
Astoria, OR 97103
Phone (503) 325-8222
2207 NE Broadway St
Ste 200
Portland, OR 97232
Phone (503) 236-6006
Interoperability endpoints
- astoriabirthcenter.carolynnygaard@146665.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Astoria, OR
- NPI 1164952495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1649500646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 W MARINE DR STE 103",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971035848",
"telephone_number": "207-209-4858",
"fax_number": "207-405-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 W MARINE DR STE 103",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971035848",
"telephone_number": "207-209-4858",
"fax_number": "207-405-2199"
}
],
"practiceLocations": [
{
"address_1": "254 Commercial St Ste 258",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041014664",
"country_code": "US",
"telephone_number": "207-209-4858",
"fax_number": "207-405-2199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYGAARD",
"first_name": "CAROLYN",
"middle_name": "IACULLO",
"name_prefix": "Dr.",
"credential": "N.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NATU.NT.61208539",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND1546",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1717",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "ME",
"license": "NP839",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500642404",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@naturopathicbydesign.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "757 W Marine Dr Ste 103",
"city": "Astoria",
"state": "OR",
"country_code": "US",
"postal_code": "971035848",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@naturopathicbydesign.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "254 Commercial St Ste 258",
"city": "Portland",
"state": "ME",
"country_code": "US",
"postal_code": "041014664",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Astoria, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.