Root of Medicine, PLLC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60412804 Issued in WA

Legal business name

ROOT OF MEDICINE, PLLC

Doing business as

Rebel Med NW
Rebel Med Northwest

Practice address

5401 Leary Ave NW Ste 202
Seattle, WA 98107-4070

Phone

(206) 297-6013

Fax

(206) 582-3472

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Johan Simon, NDNPI 1942637509

Title

Owner

Phone

(206) 297-6013

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Rebel Med NW Doing business as
• Rebel Med Northwest Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Foxglove Acupuncture LLC

  dba Rebel Med NW

  • Acupuncturist
  • Seattle, WA
  • NPI 1851868608
  NPPES parent name

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Johan Simon, ND

  • Naturopath
  • Seattle, WA
  • NPI 1942637509
  NPD Authorized official
• Lisa Ackerman, CN

  • Nutritionist
  • Seattle, WA
  • NPI 1205425964
  NPD
• Kristin Barnes, ND, LAC

  • Naturopath
  • Seattle, WA
  • NPI 1578239232

  Acupuncturist

  NPD
• Maria-Sofia Mascarinas Paco, LMP

  • Massage Therapist
  • Seattle, WA
  • NPI 1649811142
  NPD
• Kathy Severson, ND

  • Naturopath
  • Seattle, WA
  • NPI 1366046963
  NPD
• Kayla Nicole Poujade

  • Naturopath
  • Seattle, WA
  • NPI 1518421791
  NPD (past)
• Meghan Willett

  • Naturopath
  • Seattle, WA
  • NPI 1073394508

  Acupuncturist

  NPD (past)
• Meghan Zech, ND

  • Naturopath
  • Seattle, WA
  • NPI 1417452962
  NPD (past)
• Ilihia Herrod, ND

  • Naturopath
  • Mountain View, HI
  • NPI 1407420268
  NPD (past)

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1861860090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 LEARY AVE NW STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074070",
            "telephone_number": "206-297-6013",
            "fax_number": "206-582-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 LEARY AVE NW STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074070",
            "telephone_number": "206-297-6013",
            "fax_number": "206-582-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT OF MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-297-6013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60412804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035017",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2096495",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebel Med NW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rebel Med Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blair J Rooney
• Jenna Elizabeth Rooney, ARNP
• Hannah Catherine Roop, M.D.
• Roosevelt Medical Center Trust (James C Coghlan, MD)
• Roosevelt Vision Clinic, PLLC
• Root Physical Therapy
• Root Physical Therapy
• James Edwin Root, PT, DPT
• Joseph William Root, MD
• Karen Elizabeth Root, ARNP

• Naturopath in Seattle, WA
• Providers in Seattle, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.