Mattie Kathleen Johnson, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

Practice address

9327 4TH St NE Ste 9
Lake Stevens, WA 98258-1630

Phone

(360) 291-6005

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mattie Bly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mattie.bly.1@4621.direct.athenahealth.com

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

• Lake Stevens Natural Medicine 1

  • Naturopath
  • Lake Stevens, WA
  • NPI 1689388316
  NPD
• Treehouse Family Medicine PLLC

  • Naturopath
  • Seattle, WA
  • NPI 1679988729
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1992351084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9327 4TH ST NE STE 9",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581630",
            "telephone_number": "360-291-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 4TH ST NE STE 9",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581630",
            "telephone_number": "360-291-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTIE",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTIE",
            "last_name": "BLY",
            "prefix": "DR.",
            "credential": "ND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Johnson, LMP
• Lauren Johnson, CCC-SLP
• Lauren Johnson
• Lyle Johnson
• Lynn A. Johnson, LMP
• Ulla L Johnson, L.M.P.
• Johnstone Chiropractic Inc PS
• Jerry Stanley Johnstone II, D.C.
• Molly Elizabeth-Nobach Jones
• Bre Nicole Jordon, LMT

• Naturopath in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Naturopath in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.