Organization Active NPI

Nourish Natural Family Medicine

  • Naturopath
  • Nehalem, OR
National Provider Identifier
1811312945
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
2005 Issued in OR
Legal business name
NOURISH NATURAL FAMILY MEDICINE
Practice address
35890 Highway 101 N
Nehalem, OR 97131-9599
Phone
(503) 368-4312
Fax
(503) 368-4315
NPI assigned
Feb 26, 2014
Last updated
Feb 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Mackenzie Collins, N.D., L.AC.
Title
Physician, Owner
Phone
(503) 368-4312

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC156719 OR
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X 2005 OR Primary

Addresses

Primary practice location

35890 Highway 101 N
Nehalem, OR 97131-9599

Mailing address

35890 7TH St
Nehalem, OR 97131
Phone (503) 368-4312

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1811312945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35890 7TH ST",
            "city": "NEHALEM",
            "state": "OR",
            "postal_code": "97131",
            "telephone_number": "503-368-4312",
            "fax_number": "503-368-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35890 HIGHWAY 101 N",
            "city": "NEHALEM",
            "state": "OR",
            "postal_code": "971319599",
            "telephone_number": "503-368-4312",
            "fax_number": "503-368-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH NATURAL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "503-368-4312",
        "authorized_official_credential": "N.D., L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC156719",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nehalem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.