NPIMap

Organization Active NPI

Holistic Healing Arts PLLC

  • Naturopath
  • Lynnwood, WA
National Provider Identifier
1962793166
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT00001250 Issued in WA
Legal business name
HOLISTIC HEALING ARTS PLLC
Practice address
19217 36TH Ave West
BLDG 5, Suite 106
Lynnwood, WA 98036
Phone
(425) 582-7678
Fax
(425) 582-7032
NPI assigned
Apr 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Ms. Amy May Derksen, NDNPI 1821214651
Title
Owner
Phone
(425) 582-7678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X NT00001250 WA Primary

Addresses

Primary practice location

19217 36TH Ave West
BLDG 5, Suite 106
Lynnwood, WA 98036

Mailing address

19217 36TH Ave West
BLDG 5, Suite 106
Lynnwood, WA 98036
Phone (425) 582-7678

National Provider Directory

National Provider Directory

Locations

2101 112th Ave NE
Ste 110
Bellevue, WA 98004

19217 36th Ave W
Ste 106
Lynnwood, WA 98036
Phone (425) 582-7678

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1962793166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE WEST",
            "address_2": "BLDG 5, SUITE 106",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-582-7678",
            "fax_number": "425-582-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE WEST",
            "address_2": "BLDG 5, SUITE 106",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-582-7678",
            "fax_number": "425-582-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALING ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "DERKSEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-582-7678",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.