Individual provider Active NPI

Sabrina B Kimball, N.D., LAC

  • Naturopath
  • Seattle, WA
National Provider Identifier
1679722953
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60036161 Issued in WA
Practice address
600 N 36TH St Ste 226
Seattle, WA 98103-8827
Phone
(206) 920-3359
Fax
(206) 420-6171
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60036164 WA
Naturopath 175F00000X NT60036161 WA Primary

Addresses

Primary practice location

600 N 36TH St Ste 226
Seattle, WA 98103-8827

Mailing address

600 N 36TH St Ste 226
Seattle, WA 98103-8827
Phone (206) 920-3359

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
AC60036164WAMDAcupuncturist
NT60036161WAMDNaturopath

Interoperability endpoints

  • Direct secure messaging: sabrina.kimball.1@23759.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1679722953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 36TH ST STE 226",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038827",
            "telephone_number": "206-920-3359",
            "fax_number": "206-420-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 36TH ST STE 226",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038827",
            "telephone_number": "206-920-3359",
            "fax_number": "206-420-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "SABRINA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "N.D., LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60036164",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60036161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.