NPIMap

Organization Active NPI

Mindwise Medicine LLC

  • Naturopath
  • Port Townsend, WA
National Provider Identifier
1801207451
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60443433 Issued in WA
Legal business name
MINDWISE MEDICINE LLC
Practice address
1002 Lawrence St
Port Townsend, WA 98368-6524
Phone
(360) 385-3290
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Dr. Dawn Reardon, NDNPI 1316360704
Title
Naturopathic Physician
Phone
(360) 385-3290

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT60443433 WA Primary

Addresses

Primary practice location

1002 Lawrence St
Port Townsend, WA 98368-6524

Mailing address

1002 Lawrence St
Port Townsend, WA 98368-6524
Phone (360) 385-3290

Other names 1

  • Bear Root Apothecary and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1801207451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686524",
            "telephone_number": "360-385-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LAWRENCE ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686524",
            "telephone_number": "360-385-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWISE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "NATUROPATHIC PHYSICIAN",
        "authorized_official_telephone_number": "360-385-3290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60443433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Root Apothecary and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.