Individual provider Active NPI

Gloria Esmeralda Badillo, N.D.

  • Naturopath
  • Liberty Lake, WA
National Provider Identifier
1811259286
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60281226 Issued in WA
Practice address
21950 E Country Vista Dr
Suite 600
Liberty Lake, WA 99019-6005
Phone
(509) 590-1343
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60281226 WA Primary

Addresses

Primary practice location

21950 E Country Vista Dr
Suite 600
Liberty Lake, WA 99019-6005

Mailing address

21950 E Country Vista Dr
Suite 600
Liberty Lake, WA 99019-6005
Phone (509) 590-1343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NT60281226WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Naturopathic Care Naturopath Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1811259286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21950 E COUNTRY VISTA DR",
            "address_2": "SUITE 600",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196005",
            "telephone_number": "509-590-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21950 E COUNTRY VISTA DR",
            "address_2": "SUITE 600",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990196005",
            "telephone_number": "509-590-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "GLORIA",
        "middle_name": "ESMERALDA",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60281226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.