Individual provider Active NPI

Lauren Neal Wilson, ND, LMP

  • Naturopath
  • Port Townsend, WA
National Provider Identifier
1659790640
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60701877 Issued in WA
Practice address
1233 Lawrence St Ste 102
Port Townsend, WA 98368-6554
Phone
(360) 900-1044
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60701877 WA Primary
Massage Therapist 225700000X 60345961 WA

Addresses

Primary practice location

1233 Lawrence St Ste 102
Port Townsend, WA 98368-6554

Mailing address

2023 E Sims Way # 127
Port Townsend, WA 98368-6905
Phone (360) 900-1044

Other practice location 1

101 E Main St Ste 201
Monroe, WA 98272-1519
Phone (360) 863-0642

Other practice location 2

927 128th St SW Ste B
Everett, WA 98204-6315
Phone (425) 347-8614

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
NT60701877WAMDNaturopath
60345961WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Everett Spine & Rehab, PLLC PastSince Jun 23, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1659790640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 E SIMS WAY # 127",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686905",
            "telephone_number": "360-900-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LAWRENCE ST STE 102",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686554",
            "telephone_number": "360-900-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982721519",
            "country_code": "US",
            "telephone_number": "360-863-0642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 128th St SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982046315",
            "country_code": "US",
            "telephone_number": "425-347-8614",
            "fax_number": "425-348-6986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAUREN",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "ND, LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60701877",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60345961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.