Jenna S Biollo, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60791506 Issued in WA

Practice address

617 5TH Ave S
Edmonds, WA 98020-3452

Phone

(206) 629-5180

NPI assigned

Oct 6, 2017

Last updated

Oct 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1679083489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 5TH AVE S",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203452",
            "telephone_number": "206-629-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 5TH AVE S",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203452",
            "telephone_number": "206-629-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIOLLO",
        "first_name": "JENNA",
        "middle_name": "S",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60791506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Anne Bertram, LMHC
• Robert Bettis, M.D.
• Raymond M. Biersbach, PH.D.
• Karen Biety, MA CCC SLP
• Jinhee Binder
• Amy E Bishop, MD
• Bongi A Bishop, ND
• Jonathan E Bishop, M.D.
• Kimberlie Bishop, PA-C
• Bhagi Biswa

• Naturopath in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.