NATURAL LIFE INTEGRATIVE HEALTH (NPI# 1144749656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144749656 |
| Entity Type | Organization |
| Organization Name | NATURAL LIFE INTEGRATIVE HEALTH |
| Practice Address |
102 23rd Ave Se Puyallup WA 98372-4501 |
| Practice Telephone | (253) 268-2170 |
| Practice Fax Number | 2532680658 |
| Mailing Telephone | 2532682170 |
| Mailing Fax Number | 2532680658 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. LAURA ELAYNE FIRETAG (MEDICAL DIRECTOR, TREASURER) |
| Authorized Official Telephone | 8432093966 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
NT60524427 | WA | Ambulatory Health Care Facilities |
| Y | 175F00000X | Naturopath | NT60524427 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2047746 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NATURAL LIFE INTEGRATIVE HEALTH | 104 23rd Ave Se, Puyallup, WA 98372-4527 |
| Street Address |
102 23RD AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144542 | Nancy S Karr | Internal Medicine | 102 23rd Ave Se, Ste A, Puyallup, WA 98372-4527 | 2005-06-15 |
| 1417106717 | Johanna Nicole Boyd | Marriage & Family Therapist | 102 23rd Ave Se, Puyallup, WA 98372-4501 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003349200 | Courtney Elizabeth Burkhart Addabbo | Naturopath | 317 4th St Nw, Puyallup, WA 98371-4313 | 2017-04-05 |
| 1164915989 | Rebekah Thompson | Naturopath | 104 23rd Ave Se, Puyallup, WA 98372-4527 | 2018-06-07 |
| 1508242900 | Puyallup Wellness Center | Naturopath | 803 39th Ave Sw Ste F, Puyallup, WA 98373-3692 | 2015-08-07 |
| 1235537234 | Laura Elayne Firetag | Naturopath | 803 39th Ave Sw, Suite F, Puyallup, WA 98373-3692 | 2014-12-08 |
| 1790188183 | Anthony Carvalho | Naturopath | 803 39th Ave Sw, Ste F, Puyallup, WA 98373-3692 | 2014-09-30 |
| 1477795938 | Roman Krupa | Naturopath | 803 39th Ave Sw, Suite F, Puyallup, WA 98373 | 2009-03-30 |
| 1649420266 | Marie W Wakefield | Naturopath | 12815 Canyon Rd E, Ste L, Puyallup, WA 98373-5786 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316614 | Eastside Integrative Medicine, Pllc | Naturopath | 144 Charles St, Monroe, WA 98272-2303 | 2020-11-02 |
| 1437759230 | Valeria M Panibratets | Naturopath | 10411 Ne 21st Ct, Vancouver, WA 98686-5990 | 2020-10-30 |
| 1801495890 | Juleah R. Russek Tabak | Naturopath | 11521 Se 259th St # 102, Kent, WA 98030-7856 | 2020-10-20 |
| 1609474170 | Rachel Marie Goyette | Naturopath | 5603 38th Ave, Gig Harbor, WA 98335-8218 | 2020-10-15 |
| 1285232157 | Kirstin Beal Wilson | Naturopath | 408 E Main St # 101, Battle Ground, WA 98604-8506 | 2020-10-13 |
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1750988085 | Jane C Litsey | Naturopath | 13245 67th Ave Ne, Kirkland, WA 98034-1652 | 2020-10-09 |
| 1083211569 | Katie Ferree | Naturopath | 7732 1st Ave Ne, Seattle, WA 98115-4004 | 2020-10-07 |
| 1649877465 | Jill M Johnson | Naturopath | 214 225th Pl Se, Bothell, WA 98021-8339 | 2020-10-05 |
| 1376140418 | Lana Michelle Ferris | Naturopath | 1404 Ne 134th St Ste 180c, Vancouver, WA 98685-2799 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.