Mystique D Grobe, ND,LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT00000713 Issued in WA

Practice address

851 Coho Way
#309
Bellingham, WA 98225-2067

Phone

(360) 527-2812

Fax

(360) 734-3088

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1790834653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 COHO WAY",
            "address_2": "#309",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252067",
            "telephone_number": "360-527-2812",
            "fax_number": "360-734-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 COHO WAY",
            "address_2": "#309",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252067",
            "telephone_number": "360-527-2812",
            "fax_number": "360-734-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBE",
        "first_name": "MYSTIQUE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "ND,LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000225",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00000713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "912061822",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AC00000225",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "NT00000713",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Nicole Griffith Barroeta
• Anne P. Griffith, LMT
• Erin S Griffith, M.D.
• William P Griggs, MD
• Jacob Grimm, DC
• Kelsey Groenhout, RN
• Richard W Groesbeck, PH.D.
• Garth Howard Groettum
• Gronholt Psychological Services, LLC
• Jennifer Gronholt, PSY.D.

• 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 Sep 13, 2013; 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.