Organization Active NPI

Origins Natural Medicine

  • Preferred Provider Organization
  • Port Townsend, WA
National Provider Identifier
1902217557
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
NT60241039 Issued in WA
Legal business name
ORIGINS NATURAL MEDICINE
Practice address
213 Decatur St
Port Townsend, WA 98368-4623
Phone
(360) 385-5375
Fax
(360) 343-0101
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Alicia McCubbins, NDNPI 1235414822
Title
Owner
Phone
(360) 385-5375

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X NT60241039 WA Primary

Addresses

Primary practice location

213 Decatur St
Port Townsend, WA 98368-4623

Mailing address

213 Decatur St
Port Townsend, WA 98368-4623
Phone (360) 385-5375

National Provider Directory

National Provider Directory

Locations

213 Decatur St
Port Townsend, WA 98368
Phone (360) 302-0756

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1902217557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 DECATUR ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983684623",
            "telephone_number": "360-385-5375",
            "fax_number": "360-343-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 DECATUR ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983684623",
            "telephone_number": "360-385-5375",
            "fax_number": "360-343-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINS NATURAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "MCCUBBINS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-385-5375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "NT60241039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.