NPIMap

Individual provider Active NPI

Kasra Pournadeali, N.D.

  • Naturopath
  • Marysville, WA
National Provider Identifier
1740401801
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT865 Issued in WA
Practice address
316 State Ave
Marysville, WA 98270-5028
Phone
(360) 651-9355
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT865 WA Primary

Addresses

Primary practice location

316 State Ave
Marysville, WA 98270-5028

Mailing address

316 State Ave
Marysville, WA 98270-5028
Phone (360) 651-9355

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
NT865WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Center for Optimal Health Inc Naturopath Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kasra.pournadeali.1@19191.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19191/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1740401801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705028",
            "telephone_number": "360-651-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705028",
            "telephone_number": "360-651-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURNADEALI",
        "first_name": "KASRA",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.