NPIMap

Organization Active NPI

Bastyr University

  • Naturopath
  • Kenmore, WA
National Provider Identifier
1801015912
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
BASTYR UNIVERSITY
Practice address
14500 Juanita Dr NE
Kenmore, WA 98028-4966
Phone
(206) 834-4100
Fax
(206) 834-4131
NPI assigned
Apr 25, 2007
Last updated
Jul 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Authorized official

Name
Dr. Andrew Johan Simon, NDNPI 1942637509
Title
Director of Clinical Operations
Phone
(206) 834-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X
Registered Dietitian 133V00000X
Acupuncturist 171100000X
Naturopath 175F00000X Primary

Addresses

Primary practice location

14500 Juanita Dr NE
Kenmore, WA 98028-4966

Mailing address

14500 Juanita Dr NE
Kenmore, WA 98028-4966
Phone (206) 834-4100

Other names 1

  • Bastyr Center for Natural Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Bastyr University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14500 Juanita Dr NE
Kenmore, WA 98028
Phone (206) 834-4100

3670 Stone Way N
Seattle, WA 98103
Phone (206) 834-4100

3670 Stone Way N
Ste S201
Seattle, WA 98103
Phone (206) 834-4100

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783814400000",
    "number": "1801015912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 JUANITA DR NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284966",
            "telephone_number": "206-834-4100",
            "fax_number": "206-834-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 JUANITA DR NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284966",
            "telephone_number": "206-834-4100",
            "fax_number": "206-834-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTYR UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHAN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "206-834-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bastyr Center for Natural Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2026; 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.