Stephen D Speidel N.D., PC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT00000447 Issued in WA

Legal business name

STEPHEN D SPEIDEL N.D., PC

Practice address

19586 10TH Ave NE Ste 100
Poulsbo, WA 98370-7332

Phone

(360) 697-2122

Fax

(360) 697-4617

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Casandra Cook

Title

Admin Assist

Phone

(360) 697-2122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1932614757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19586 10TH AVE NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707332",
            "telephone_number": "360-697-2122",
            "fax_number": "360-697-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19586 10TH AVE NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707332",
            "telephone_number": "360-697-2122",
            "fax_number": "360-697-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D SPEIDEL N.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_title_or_position": "ADMIN ASSIST",
        "authorized_official_telephone_number": "360-697-2122"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00000447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Naturopath in Poulsbo, WA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.