NPIMap

Organization Active NPI

N.a.T.I.V.E. Project

Doing business as N.A.T.I.V.E. Health of Spokane

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1962427880
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L0131351 Issued in WA
Legal business name
N.A.T.I.V.E. PROJECT
Doing business as
N.A.T.I.V.E. Health of Spokane
Practice address
505 E North Foothills Dr
Ste 300
Spokane, WA 99207-2101
Phone
(509) 483-7535
NPI assigned
Jul 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Toni LodgeNPI 1972703668
Title
Executive Director
Phone
(509) 325-5502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L0131351 WA Primary

Addresses

Primary practice location

505 E North Foothills Dr
Ste 300
Spokane, WA 99207-2101

Mailing address

1803 W Maxwell Ave
Spokane, WA 99201-2831
Phone (509) 325-5502

Other identifiers 4

IdentifierTypeStateIssuer
1982600359OtherWANPI KENDRA LONG
1912996257OtherWANPI CANDY JACKSON
1104811033OtherWANPI SANDRA FORSMAN
1306842596OtherWANPI VINETTA MACPHERSON

Other names 1

  • N.A.T.I.V.E. Health of Spokane Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Native Project6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962427880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W MAXWELL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012831",
            "telephone_number": "509-325-5502",
            "fax_number": "509-483-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E NORTH FOOTHILLS DR",
            "address_2": "STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072101",
            "telephone_number": "509-483-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.A.T.I.V.E. PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LODGE",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-325-5502",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "L0131351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI KENDRA LONG",
            "identifier": "1982600359",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CANDY JACKSON",
            "identifier": "1912996257",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SANDRA FORSMAN",
            "identifier": "1104811033",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI VINETTA MACPHERSON",
            "identifier": "1306842596",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N.A.T.I.V.E. Health of Spokane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.