Gumshoe Health, P.S

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

NT60647845 Issued in WA

Legal business name

GUMSHOE HEALTH, P.S

Practice address

101 E Main St Ste 201
Monroe, WA 98272-1519

Phone

(360) 863-0642

Fax

(360) 794-7236

NPI assigned

Apr 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Desmond, ND, LMP

Title

President

Phone

(206) 747-7681

Specialties & licenses 1

Addresses

Tax ID family

Gumshoe Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gumshoe Health

  • Multi-Specialty Clinic/Center
  • Seattle, WA
  • NPI 1174057350
  NPD tax ID

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1659725455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 201",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721519",
            "telephone_number": "360-863-0642",
            "fax_number": "360-794-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 201",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721519",
            "telephone_number": "360-863-0642",
            "fax_number": "360-794-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUMSHOE HEALTH, P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-747-7681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LMP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "NT60647845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Jones, D.D.S., M.S.D., P.L.L.C.
• Robert Green, PTA
• Kelly Marie Greiner, LMP
• Margaret Griffin, CMT
• Jacob Adam Grillo, PA-C
• Margaret Gustafson, ARNP
• Heather Gutierrez, ARNP
• Christine Michele Halverson, CPC
• Jeffrey D. Hambleton, MD
• Chan W Han, DMD

• Health Service Clinic/Center in Monroe, WA
• Providers in Monroe, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.