Active NPI
Carly Alana Bridge, N.D.
- Naturopath
- Seattle, WA
National Provider Identifier
1912234584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60119385
- Practice address
- 4411 Fremont Ave N
Seattle, WA 98103-7225 - Phone
- (206) 683-4495
- Fax
- (206) 547-2207
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60119385 | WA | Primary |
Addresses
Primary practice location
4411 Fremont Ave N
Seattle, WA 98103-7225
Mailing address
4411 Fremont Ave N
Seattle, WA 98103-7225
Phone (206) 683-4495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT60119385 | WA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naturopathic Family Medicine | Naturopath | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Naturopath
- Seattle, WA
- NPI 1871818807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1912234584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 FREMONT AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981037225",
"telephone_number": "206-683-4495",
"fax_number": "206-547-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 FREMONT AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981037225",
"telephone_number": "206-683-4495",
"fax_number": "206-547-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGE",
"first_name": "CARLY",
"middle_name": "ALANA",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60119385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.