Individual provider Active NPI

Jamie Matthew Kunkle, ND

  • Naturopath
  • Roseville, CA
National Provider Identifier
1790023257
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60320954 Issued in WA
Practice address
254 Gibson Dr
Roseville, CA 95678-5881
Phone
(814) 494-2129
Fax
(916) 351-5600
NPI assigned
Jan 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60320954 WA Primary

Addresses

Primary practice location

254 Gibson Dr
Roseville, CA 95678-5881

Mailing address

254 Gibson Dr
Roseville, CA 95678-5881
Phone (814) 494-2129

Other practice location 1

2111 N. Northgate Way Suite 219
Seattle, WA 98133
Phone (206) 367-4500

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

State licenses

LicenseStateTypeSpecialty
NT60320954WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Revolutions Naturopathic Medical Solutions Naturopath 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1790023257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 GIBSON DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785881",
            "telephone_number": "814-494-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 GIBSON DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785881",
            "telephone_number": "814-494-2129",
            "fax_number": "916-351-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 N. Northgate Way Suite 219",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98133",
            "country_code": "US",
            "telephone_number": "206-367-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNKLE",
        "first_name": "JAMIE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60320954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.