NPIMap

Individual provider Active NPI

Stephen Douglas Speidel, N.D.

  • Naturopath
  • Poulsbo, WA
National Provider Identifier
1821134602
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
447 Issued in WA
Practice address
19586 10TH Ave NE Ste 100
Poulsbo, WA 98370-7332
Phone
(360) 697-2122
Fax
(360) 697-4617
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 447 WA Primary

Addresses

Primary practice location

19586 10TH Ave NE Ste 100
Poulsbo, WA 98370-7332

Mailing address

17791 Fjord Dr NE
Suite J-160
Poulsbo, WA 98370-8481
Phone (360) 697-2122

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
447WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Allergy Clinic Naturopath Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1821134602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17791 FJORD DR NE",
            "address_2": "SUITE J-160",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708481",
            "telephone_number": "360-697-2122",
            "fax_number": "360-697-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19586 10TH AVE NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707332",
            "telephone_number": "360-697-2122",
            "fax_number": "360-697-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIDEL",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.