Juleah R. Russek Tabak, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT61092851 Issued in WA

Practice address

11521 SE 259TH St # 102
Kent, WA 98030-7856

Phone

(425) 577-9414

NPI assigned

Oct 20, 2020

Last updated

Oct 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1801495890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11521 SE 259TH ST UNIT 102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307856",
            "telephone_number": "425-577-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11521 SE 259TH ST # 102",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307856",
            "telephone_number": "425-577-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAK",
        "first_name": "JULEAH",
        "middle_name": "R. RUSSEK",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT61092851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Genevieve Syslo, LICSW
• Adam Craig Szajman, DDS
• Nicholas Szczepanski
• Brian Le Ta, DMD
• Thi Tuyet Mai Ta, MD
• Amber Tabares
• Ashleigh Gaven Adriano Tagupa
• Mary Jean Tahlequah, LMP,COMP,CNMT,SI
• Sun Kim Taing, PHARMD
• Rahul V Tak, PHARM.D

• Naturopath in Kent, WA
• Providers in Kent, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.