Individual provider Active NPI

Tara Johnie Shelby, N.D., L.M.

  • Naturopath
  • Seattle, WA
National Provider Identifier
1821241944
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60058757 Issued in WA
Practice address
5600 14TH Ave NW
Seattle, WA 98107-3723
Phone
(206) 919-0175
Fax
(206) 567-9797
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60058757 WA Primary
Midwife 176B00000X MW60026392 WA

Addresses

Primary practice location

5600 14TH Ave NW
Seattle, WA 98107-3723

Mailing address

5600 14TH Ave NW Ste 1
Seattle, WA 98107-3723
Phone (206) 919-0175

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
NT60058757WAMDNaturopath
MW60026392WAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Naturopathy, PLLC CurrentSince Aug 2, 2020 Accepting new patients

Locations

5600 14th Ave NW
#1
Seattle, WA 98107
Phone (206) 919-0175

4426 Burke Ave N
Seattle, WA 98103
Phone (206) 632-2030

5600 14th Ave NW
Seattle, WA 98107
Phone (206) 919-0175

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1821241944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 14TH AVE NW STE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073723",
            "telephone_number": "206-919-0175",
            "fax_number": "206-567-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 14TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073723",
            "telephone_number": "206-919-0175",
            "fax_number": "206-567-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "TARA",
        "middle_name": "JOHNIE",
        "name_prefix": "Dr.",
        "credential": "N.D., L.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60058757",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60026392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.