NPIMap

Organization Active NPI

Natural Life Medicine

Doing business as Anna Graklanoff

  • Naturopath
  • Puyallup, WA
National Provider Identifier
1801431945
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
NATURAL LIFE MEDICINE
Doing business as
Anna Graklanoff
NLM
Practice address
104 23Rd Ave SE
Puyallup, WA 98372-4527
Phone
(253) 268-2170
Fax
(253) 268-0658
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Anna Graklanoff, ND, LACNPI 1679928006
Title
President/Ceo
Phone
(303) 519-4699

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

104 23Rd Ave SE
Puyallup, WA 98372-4527

Mailing address

104 23Rd Ave SE
Puyallup, WA 98372-4527
Phone (253) 268-2170

Other names 2

  • Anna Graklanoff Doing business as
  • NLM Doing business as

National Provider Directory

National Provider Directory

Locations

104 23rd Ave SE
Puyallup, WA 98372
Phone (253) 200-0415

Practitioners & affiliated clinicians

Practitioners 11

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": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1801431945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 23RD AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724527",
            "telephone_number": "253-268-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 23RD AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724527",
            "telephone_number": "253-268-2170",
            "fax_number": "253-268-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL LIFE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "GRAKLANOFF",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "303-519-4699",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna Graklanoff",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NLM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.