Active NPI
Susan Lynn Marra, ND
- Naturopath
- Poulsbo, WA
National Provider Identifier
1679760920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT00001579
- Practice address
- 17791 Fjord Drive NE
Ste 130
Poulsbo, WA 98370 - Phone
- (206) 299-2676
- Fax
- (206) 522-7410
- NPI assigned
- Oct 1, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | AHC-NAT-LIC-130784 | MT | |
| Naturopath | 175F00000X | NDF-654 | CA | |
| Naturopath | 175F00000X | NT00001579 | WA | Primary |
Addresses
Primary practice location
17791 Fjord Drive NE
Ste 130
Poulsbo, WA 98370
Mailing address
17791 Fjord Drive NE
Ste 130
Poulsbo, WA 98370
Phone (206) 299-2676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NT00001579 | Other | ND LICENSE NUMBER |
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 |
|---|---|---|---|
| NDF-654 | CA | MD | Naturopath |
| AHC-NAT-LIC-130784 | MT | MD | Naturopath |
| NT00001579 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1679760920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17791 FJORD DRIVE NE",
"address_2": "STE 130",
"city": "POULSBO",
"state": "WA",
"postal_code": "98370",
"telephone_number": "206-299-2676",
"fax_number": "206-522-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17791 FJORD DRIVE NE",
"address_2": "STE 130",
"city": "POULSBO",
"state": "WA",
"postal_code": "98370",
"telephone_number": "206-299-2676",
"fax_number": "206-522-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRA",
"first_name": "SUSAN",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "MT",
"license": "AHC-NAT-LIC-130784",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "NDF-654",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT00001579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ND LICENSE NUMBER",
"identifier": "NT00001579",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.