Kristin Marie Roos, N.D.
Individual provider Active NPI Naturopath · Goshen, IN
NPI 1760915201 · NPPES record last updated Apr 11, 2017
Key facts
- NPI
- 1760915201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- NT60621700 (WA)
- Practice address
- 200 High Park Ave
Goshen, IN 46526-4810 - Phone
- (574) 364-2896
- NPI assigned
- Apr 11, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT60621700 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pohala Clinic PC | Naturopath | Past |
Accepting new patients |
| City of Hope Medical Group of Arizona LLC | Naturopath | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/22190/brand/1/csg/1/fhir/r4
- kroos145427@cityofhope.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60621700 | WA | Yes |
Addresses
Primary practice location
200 High Park Ave
Goshen, IN 46526-4810
Mailing address
200 High Park Ave
Goshen, IN 46526-4810
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.