Individual provider Active NPI

Craig Peterson, N.D. LAC

  • Naturopath
  • Fife, WA
National Provider Identifier
1740650076
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60255391 Issued in WA
Practice address
3700 Pacific Hwy E
Fife, WA 98424-1148
Phone
(253) 382-6300
NPI assigned
Sep 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60675686 WA
Naturopath 175F00000X NT60255391 WA Primary

Addresses

Primary practice location

3700 Pacific Hwy E
Fife, WA 98424-1148

Mailing address

6303 Perry Ave SE
Auburn, WA 98092-8098
Phone (206) 790-0584

Other practice location 1

1570 N 115th St
Seattle, WA 98133-8401
Phone (206) 790-0584

Other practice location 2

5322 89th St
Pleasant Prairie, WI 53158-5509
Phone (206) 790-0584

Other practice location 3

3670 Stone Way N
Seattle, WA 98103-8004
Phone (206) 834-4100

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC60675686WAMDAcupuncturist
NT60255391WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Salish Integrative Medicine, Inc Acupuncturist PastSince May 22, 2022 Accepting new patients

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": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1740650076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 PERRY AVE SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928098",
            "telephone_number": "206-790-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PACIFIC HWY E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984241148",
            "telephone_number": "253-382-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 N 115th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981338401",
            "country_code": "US",
            "telephone_number": "206-790-0584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5322 89th St",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531585509",
            "country_code": "US",
            "telephone_number": "206-790-0584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3670 Stone Way N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981038004",
            "country_code": "US",
            "telephone_number": "206-834-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "N.D. LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-29",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60675686",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60255391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fife, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.