Karissa Logan, ND, EAMP

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60955458 Issued in WA

Practice address

5414 Barnes Ave NW Ste 1
Seattle, WA 98107-3839

Phone

(425) 610-7548

NPI assigned

Nov 14, 2017

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

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1922511831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 105TH PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084629",
            "telephone_number": "425-622-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 BARNES AVE NW STE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073839",
            "telephone_number": "425-610-7548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15117 Main St",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980129035",
            "country_code": "US",
            "telephone_number": "425-622-7567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "KARISSA",
        "credential": "ND, EAMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60529661",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60955458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Logalbo, MD
• Alexander Ascenzo Logan, M.D.
• Ashton Logan
• Connor Michael Logan, MD
• Deidra A Logan, OT, OTD, OTR/L
• Miles Gregory Logan
• Kendall Logar, B.C.B.A.
• James P Logerfo
• Sung Eun Logerfo, MD
• Tino Logerfo, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.