Active NPI
Jeff M. Haas, L.M.P.
- Naturopath
- Kent, WA
National Provider Identifier
1942405121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- MA00023589
- Practice address
- 10830 SE Kent Kangley Rd
Kent, WA 98030-9959 - Phone
- (253) 813-2672
- Fax
- (253) 813-2673
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | MA00023589 | WA | Primary |
Addresses
Primary practice location
10830 SE Kent Kangley Rd
Kent, WA 98030-9959
Mailing address
25808 188TH Ave SE
Covington, WA 98042-6043
Phone (253) 630-4196
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 |
|---|---|---|---|
| MA00023589 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942405121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25808 188TH AVE SE",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980426043",
"telephone_number": "253-630-4196",
"fax_number": "253-813-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10830 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "980309959",
"telephone_number": "253-813-2672",
"fax_number": "253-813-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "JEFF",
"middle_name": "M.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "MA00023589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.