Jack Raymond Shupe, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT00000554 Issued in WA

Practice address

2335 Vining St
Bellingham, WA 98229-5940

Phone

(360) 733-1693

Fax

(360) 733-1693

NPI assigned

Nov 16, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1770884124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 VINING ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982295940",
            "telephone_number": "360-733-1693",
            "fax_number": "360-733-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 VINING ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982295940",
            "telephone_number": "360-733-1693",
            "fax_number": "360-733-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUPE",
        "first_name": "JACK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000051",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00000554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Shrock, RN
• Courtney A Shrum, LMHC
• Shuksan SNF Operations LLC
• Margaret Manning Shull, LMHC
• Colin Shumway, BCBA
• Alan James Shurman, M.D.
• Cameron Lee Sibert, BS
• Avneet Kaur Sidhu
• Bailey Sieber
• John Siegfried, LCSW

• Naturopath in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.