Active NPI
Craig Peterson, N.D. LAC
- Naturopath
- Fife, WA
National Provider Identifier
1740650076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60255391
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AC60675686 | WA | MD | Acupuncturist |
| NT60255391 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salish Integrative Medicine, Inc | Acupuncturist | Past | 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.