NPIMap

Organization Active NPI

Shelby Naturopathy, PLLC

Doing business as Village Medicine

  • Medical Specialty Clinic/Center
  • Seattle, WA
National Provider Identifier
1922359546
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
9999999 Issued in WA
Legal business name
SHELBY NATUROPATHY, PLLC
Doing business as
Village Medicine
Practice address
5600 14TH Ave NW
Seattle, WA 98107-3723
Phone
(206) 919-0175
Fax
(206) 567-9797
NPI assigned
Sep 21, 2012
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dr. Tara Johnie Shelby, ND, LMNPI 1821241944
Title
Ceo Medical Director
Phone
(206) 919-0175

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
Medical Specialty Clinic/Center 261QM2500X 9999999 WA Primary

Addresses

Primary practice location

5600 14TH Ave NW
Seattle, WA 98107-3723

Mailing address

5600 14TH Ave NW Ste 1
Seattle, WA 98107-3723
Phone (206) 919-0175

Other names 1

  • Village Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

4426 Burke Ave N
Seattle, WA 98103
Phone (206) 919-0175

5600 14th Ave NW
Seattle, WA 98107
Phone (206) 919-0175

5600 14th Ave NW
#1
Seattle, WA 98107
Phone (206) 919-0175

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1922359546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 14TH AVE NW STE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073723",
            "telephone_number": "206-919-0175",
            "fax_number": "206-567-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 14TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073723",
            "telephone_number": "206-919-0175",
            "fax_number": "206-567-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY NATUROPATHY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "SHELBY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "JOHNIE",
        "authorized_official_title_or_position": "CEO MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-919-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, LM"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "9999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2020; 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.