Individual provider Active NPI

Sydney Ann Pallesen, N.D.

  • Naturopath
  • Vancouver, WA
National Provider Identifier
1780075689
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Practice address
5512 NE 109TH CT
Suite I
Vancouver, WA 98662-6175
Phone
(360) 798-5704
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X Primary

Addresses

Primary practice location

5512 NE 109TH CT
Suite I
Vancouver, WA 98662-6175

Mailing address

5512 NE 109TH CT
Suite I
Vancouver, WA 98662-6175
Phone (302) 559-1444

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

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1780075689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 NE 109TH CT",
            "address_2": "SUITE I",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626175",
            "telephone_number": "302-559-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 NE 109TH CT",
            "address_2": "SUITE I",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626175",
            "telephone_number": "360-798-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLESEN",
        "first_name": "SYDNEY",
        "middle_name": "ANN",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.