NPIMap

Organization Active NPI

Melissa Larson ND LLC

Doing business as Ballard Natural Medicine

  • Naturopath
  • Seattle, WA
National Provider Identifier
1871091462
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT1362 Issued in WA
Legal business name
MELISSA LARSON ND LLC
Doing business as
Ballard Natural Medicine
Practice address
5470 Shilshole Ave NW
#300
Seattle, WA 98107
Phone
(206) 632-2154
Fax
(206) 432-9509
NPI assigned
Jan 29, 2018
Last updated
Jan 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
Ms. Melissa Maria Larson, NDNPI 1942322615
Title
Owner
Phone
(206) 632-2154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT1362 WA Primary
Naturopath 175F00000X 00001317 WA

Addresses

Primary practice location

5470 Shilshole Ave NW
#300
Seattle, WA 98107

Mailing address

5470 Shilshole Ave NW
#300
Seattle, WA 98107
Phone (206) 632-2154

Other names 1

  • Ballard Natural Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

5470 Shilshole Ave NW
Ste 300
Seattle, WA 98107
Phone (206) 632-2154

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1871091462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 SHILSHOLE AVE NW",
            "address_2": "#300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98107",
            "telephone_number": "206-632-2154",
            "fax_number": "206-432-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 SHILSHOLE AVE NW",
            "address_2": "#300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98107",
            "telephone_number": "206-632-2154",
            "fax_number": "206-432-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA LARSON ND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-632-2154",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT1362",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "00001317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballard Natural Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 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.