Bobbi B Lutack, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT00000689 Issued in WA

Practice address

2008 NE 65TH St
Seattle, WA 98115-6934

Phone

(206) 729-0907

Fax

(206) 729-0199

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Evergreen Center for Integrative Medicine PLLC

  • Primary Care Clinic/Center
  • Seattle, WA
  • NPI 1194483289
  NPD
• Aven Medical Inc

  • Naturopath
  • Seattle, WA
  • NPI 1932856747
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1881741288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156934",
            "telephone_number": "206-729-0907",
            "fax_number": "206-729-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 NE 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156934",
            "telephone_number": "206-729-0907",
            "fax_number": "206-729-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTACK",
        "first_name": "BOBBI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00000689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881741288",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "evergreencenter.net",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2008 NE 65th St",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981156934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Teresa Dejesus Lusignan
• Lisa A Lusk, OTR/L
• Joan Elizabeth Luster, LICSW
• Linda Luster, M.D.
• Stephanie Victoria Lustofin, DDS
• Glen Adrian Lutchman, MD, MHSC
• Luther Chiropractic, P.S.
• Luscin Kabua Luther
• Lutheran Community Services Northwest
• Lutheran Retirement Home of Greater Seattle Inc

• 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 Apr 12, 2021; 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.