Individual provider Active NPI

Alyssa L Kelly, ND

  • Naturopath
  • Seattle, WA
National Provider Identifier
1831626233
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60758539 Issued in WA
Practice address
509 Olive Way Ste 1315
Seattle, WA 98101-1771
Phone
(206) 382-9977
Fax
(888) 519-9390
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60758539 WA Primary

Addresses

Primary practice location

509 Olive Way Ste 1315
Seattle, WA 98101-1771

Mailing address

711 NE 60TH St
Seattle, WA 98115-5513
Phone (630) 306-6726

Other practice location 1

4411 Fremont Ave N
Seattle, WA 98103-7225
Phone (206) 683-4495

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
NT60758539WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Naturopathic Family Medicine 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831626233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 NE 60TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155513",
            "telephone_number": "630-306-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 1315",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011771",
            "telephone_number": "206-382-9977",
            "fax_number": "888-519-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4411 Fremont Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981037225",
            "country_code": "US",
            "telephone_number": "206-683-4495",
            "fax_number": "888-519-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALYSSA",
        "middle_name": "L",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60758539",
            "primary": true
        }
    ],
    "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 Mar 17, 2018; 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.