Jennifer J Walters, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND61107841 Issued in WA

Practice address

3922 148TH St SE Ste 203
Mill Creek, WA 98012-4752

Phone

(425) 225-5310

Fax

(833) 783-1742

NPI assigned

Aug 28, 2020

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.walters.1@26378.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26378/brand/1/csg/1/fhir/r4

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

• Eastside Integrative Medicine, PLLC

  dba Eastside Integrative Medicine

  • Naturopath
  • Mill Creek, WA
  • NPI 1093316614
  NPD Authorized official

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1811500887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23111 105TH ST SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982727809",
            "telephone_number": "425-225-5310",
            "fax_number": "833-783-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 148TH ST SE STE 203",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980124752",
            "telephone_number": "425-225-5310",
            "fax_number": "833-783-1742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23111 105th ST SE",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982727809",
            "country_code": "US",
            "telephone_number": "425-327-3889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14841 179th Ave SE Ste 220",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WA",
            "postal_code": "982721127",
            "country_code": "US",
            "telephone_number": "360-200-1655",
            "fax_number": "866-248-9597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12425 Meridian Ave S",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982085728",
            "country_code": "US",
            "telephone_number": "360-200-1655",
            "fax_number": "833-819-0271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "ND61107841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Wah, PT
• Dariusz Walczak, MD
• Karen L Wallace, RD, CD
• Nicole Michelle Walsh, LMP
• Kim A Walter, DDS
• Christina Wang, O.D.
• Jason Wang
• Washington CVS Pharmacy LLC (CVS Pharmacy #11650)
• Washington Physical Therapy Services of Mill Creek, LLC (Apex Health And Rehab)
• Rebekah Watanabe

• Naturopath in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.