Katy Delaine Koukouras, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60264357 Issued in WA

Practice address

209 Avenue D
Suite 100B
Snohomish, WA 98290-2730

Phone

(360) 863-2152

Fax

(360) 863-2364

NPI assigned

Feb 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrative Health Alliance

  • Naturopath
  • Snohomish, WA
  • NPI 1427395714

  Acupuncturist

  NPD (past) Authorized official

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1891067187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 AVENUE D",
            "address_2": "SUITE 100B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902415",
            "telephone_number": "360-863-2152",
            "fax_number": "360-863-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 AVENUE D",
            "address_2": "SUITE 100B",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902730",
            "telephone_number": "360-863-2152",
            "fax_number": "360-863-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUKOURAS",
        "first_name": "KATY",
        "middle_name": "DELAINE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60267372",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60264357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Frank Kolesar
• Korey John Kolrud, B.A.
• Crystal Anne Kombol, M.ED.
• Aaron Jason Kondracki, LMT
• Mark Bayard Kossian, DC, DACS
• Kathryn Kozowski, ND, LAC
• Kay A. Kramer IV, LMP
• Smitha Krishnan, M.D
• Joy Kucia, CPHT
• Myra Renae Kuntz, LMP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.