Individual provider Active NPI

Andrew Johan Simon, ND

  • Naturopath
  • Seattle, WA
National Provider Identifier
1942637509
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60412804 Issued in WA
Practice address
5401 Leary Ave NW Ste 202
Seattle, WA 98107
Phone
(206) 297-6013
Fax
(206) 582-3472
NPI assigned
Sep 27, 2013
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60412804 WA Primary

Addresses

Primary practice location

5401 Leary Ave NW Ste 202
Seattle, WA 98107

Mailing address

5401 Leary Ave NW Ste 202
Seattle, WA 98107-4070
Phone (206) 297-6013

Other practice location 1

3670 Stone Way N
Seattle, WA 98103-8004
Phone (206) 834-4100 ext. 4143

Other practice location 2

3670 Stone Way N
Seattle, WA 98103-8004
Phone (206) 834-4100 ext. 4143

Other identifiers 1

IdentifierTypeStateIssuer
2035017MedicaidWA

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

LicenseStateTypeSpecialty
NT60412804WAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Root of Medicine, PLLC Naturopath CurrentSince Dec 7, 2025 Accepting new patients
Bastyr University Naturopath Past Accepting new patients

Locations

5401 Leary Ave NW
Ste 202
Seattle, WA 98107
Phone (206) 206-2976

Interoperability endpoints

  • Direct secure messaging: asimon100756@direct.ochin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1942637509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 LEARY AVE NW STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074070",
            "telephone_number": "206-297-6013",
            "fax_number": "206-582-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 LEARY AVE NW STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98107",
            "telephone_number": "206-297-6013",
            "fax_number": "206-582-3472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3670 Stone Way N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981038004",
            "country_code": "US",
            "telephone_number": "206-834-4100 x4143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3670 Stone Way N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981038004",
            "country_code": "US",
            "telephone_number": "206-834-4100 x4143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ANDREW",
        "middle_name": "JOHAN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60412804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035017",
            "state": "WA"
        }
    ],
    "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 Dec 2, 2025; 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.