NPIMap

Organization Active NPI

Healthy Balance Natural Medicine, PLLC

  • Non-Pharmacy Dispensing Site
  • Everett, WA
National Provider Identifier
1881941342
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
HEALTHY BALANCE NATURAL MEDICINE, PLLC
Practice address
2804 Grand Ave
Suite 300
Everett, WA 98201-3430
Phone
(425) 258-4633
NPI assigned
Aug 14, 2012
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHY BALANCE NATURAL MEDICINE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Kevin D. Shaw, NDNPI 1659570893
Title
Owner
Phone
(425) 258-4633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

2804 Grand Ave
Suite 300
Everett, WA 98201-3430

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Healthy Balance Natural Medicine PLLC3 organizations share this tax ID, including this one
Part of
Healthy Balance Natural Medicine PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1881941342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 GRAND AVE",
            "address_2": "SUITE 300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013430",
            "telephone_number": "425-258-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY BALANCE NATURAL MEDICINE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHY BALANCE NATURAL MEDICINE, PLLC",
        "enumeration_date": "2012-08-14",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-258-4633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.