Active NPI
Purita Juntaphant, ND
- Naturopath
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 60853759
- Practice address
- 2340 130TH Ave NE # D200
Bellevue, WA 98005-1700 - Phone
- (425) 448-3339
- NPI assigned
- Mar 26, 2018
- Last updated
- Mar 23, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 60853759 | WA | Primary |
Addresses
Primary practice location
2340 130TH Ave NE # D200
Bellevue, WA 98005-1700
Mailing address
2340 130TH Ave NE # D200
Bellevue, WA 98005-1700
Phone (425) 494-5994
Other practice location 1
10445 NE 130th St
Kirkland, WA 98034-2839
Phone (425) 829-5131
Other practice location 2
10445 NE 130th St
Kirkland, WA 98034-2839
Phone (425) 829-5131
Other practice location 3
2340 130th Ave NE # D200
Bellevue, WA 98005-1700
Phone (425) 448-3339
Other practice location 4
2340 130th Ave NE # D200
Bellevue, WA 98005-1700
Phone (425) 448-3339
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 |
|---|---|---|---|
| 60853759 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Integrative LLC | Naturopath | Current | Accepting new patients |
Locations
2340 130th Ave NE
#D200
Bellevue, WA 98005
Phone (425) 448-3339
Interoperability endpoints
- purita.juntaphant@706238758846468.direct.elationemr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1720583412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 130TH AVE NE # D200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051700",
"telephone_number": "425-494-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 130TH AVE NE # D200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051700",
"telephone_number": "425-448-3339"
}
],
"practiceLocations": [
{
"address_1": "10445 NE 130th St",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980342839",
"country_code": "US",
"telephone_number": "425-829-5131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10445 NE 130th St",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980342839",
"country_code": "US",
"telephone_number": "425-829-5131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2340 130th Ave NE # D200",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980051700",
"country_code": "US",
"telephone_number": "425-448-3339",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2340 130th Ave NE # D200",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980051700",
"country_code": "US",
"telephone_number": "425-448-3339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNTAPHANT",
"first_name": "PURITA",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Naturopath",
"state": "WA",
"license": "60853759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.