Individual provider Active NPI

Nathan Wagner, ND

  • Naturopath
  • Hood River, OR
National Provider Identifier
1700406071
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
4311 Issued in OR
Practice address
116 3Rd St Ste 215
Hood River, OR 97031-2193
Phone
(800) 277-0117
NPI assigned
Apr 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT61126773 WA
Naturopath 175F00000X 4311 OR Primary

Addresses

Primary practice location

116 3Rd St Ste 215
Hood River, OR 97031-2193

Mailing address

PO Box 2083
White Salmon, WA 98672-2083
Phone (724) 562-2712

Other practice location 1

418 NE Tohomish St Ste 200
White Salmon, WA 98672-1940
Phone (509) 213-7220

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
4311ORMDNaturopath
NT61126773WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Natural Medicine LLC Naturopath Past Accepting new patients
Down to Earth Chiropractic LLC Multi-Specialty Past Accepting new patients
White Salmon Acupuncture LLP PastSince May 16, 2022 Accepting new patients

Organizations & group practices 3

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1700406071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2083",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986722083",
            "telephone_number": "724-562-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 3RD ST STE 215",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312193",
            "telephone_number": "800-277-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 NE Tohomish St Ste 200",
            "address_purpose": "LOCATION",
            "city": "White Salmon",
            "state": "WA",
            "postal_code": "986721940",
            "country_code": "US",
            "telephone_number": "509-213-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61126773",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "4311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.