Individual provider Active NPI

Amanda Joan Wilms, ND

  • Naturopath
  • Bellevue, WA
National Provider Identifier
1982942603
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60320236 Issued in WA
Practice address
1200 116TH Ave NE Ste C
Bellevue, WA 98004-3802
Phone
(425) 451-0404
Fax
(425) 462-8919
NPI assigned
Jan 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT60320236 WA Primary

Addresses

Primary practice location

1200 116TH Ave NE Ste C
Bellevue, WA 98004-3802

Mailing address

23714 N Lake Cochran Rd
Monroe, WA 98272-9752
Phone (425) 231-3877

Other names 1

  • Amanda Joan Gladding Former name

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
NT60320236WAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1982942603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23714 N LAKE COCHRAN RD",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729752",
            "telephone_number": "425-231-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 116TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043802",
            "telephone_number": "425-451-0404",
            "fax_number": "425-462-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMS",
        "first_name": "AMANDA",
        "middle_name": "JOAN",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60320236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GLADDING",
            "middle_name": "JOAN",
            "credential": "ND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.