SOURCE NORTHWEST INTEGRATIVE MEDICINE (NPI# 1063971703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063971703 |
| Entity Type | Organization |
| Organization Name | SOURCE NORTHWEST INTEGRATIVE MEDICINE |
| Practice Address |
7206 267th St Nw Ste 102 Stanwood WA 98292-6269 |
| Practice Telephone | 3606292222 |
| Practice Fax Number | 3606297074 |
| Mailing Telephone | 3606292222 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | DR. CARRIE L HARDY (PHYSICIAN) |
| Authorized Official Telephone | 3606292222 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 175F00000X | Naturopath | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Stanwood Integrative Medicine | Doing Business As Name - Organization |
| Street Address |
7206 267TH ST NW STE 102 |
| City | STANWOOD |
| State | WA |
| Zip Code | 98292-6269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952303 | Sabrina Ashley Barrera | Massage Therapist | 7202 267th St Nw Ste 104b, Stanwood, WA 98292 | 2017-06-20 |
| 1104355155 | Richard Lee Harman | Ophthalmology | 10101 270th St. Nw, #195, Stanwood, WA 98292 | 2017-06-05 |
| 1629472428 | Melisa Donnelly | Speech-Language Pathologist | 9901 272nd Place Nw, Stanwood, WA 98292 | 2014-10-22 |
| 1790194512 | Rachelle Eve Hamaker | Massage Therapist | 9806 270th St. N.w. #c, Stanwood, WA 98292 | 2014-08-06 |
| 1255693909 | Gary Rhett Andelin | Emergency Medicine | 9631 - 269th Street Nw, Stanwood, WA 98292 | 2012-06-08 |
| 1285927160 | Rachael Anne Davis | Massage Therapist | 9009 271 Street Nw, Stanwood, WA 98292 | 2011-05-25 |
| 1295024610 | Linda K Ricks | Massage Therapist | 2522 256th St Nw, Stanwood, WA 98292 | 2011-04-06 |
| 1760789747 | Suzann Lorene Oakes | Physical Therapist | 20420 Marine Dr., Stanwood, WA 98292 | 2011-02-28 |
| 1588965735 | Elizabeth Ann Burr | Counselor | 23306 Marine Dr., Stanwood, WA 98292 | 2010-11-04 |
| 1780984898 | Jennifer Paige Hoorn | Physical Therapy Assistant | 20420 Marine Drive, Stanwood, WA 98292 | 2010-10-25 |
| Find all providers in zip 98292 | ||||
| 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 |
|---|---|---|---|---|
| 1619052537 | Melanie Whittaker | Naturopath | 7206 267th St Nw, Suite 102, Stanwood, WA 98292-6269 | 2006-10-26 |
| 1285185744 | Carrie Hardy | Naturopath | 7206 267th St Nw, Ste. 102, Stanwood, WA 98292-6269 | 2016-10-19 |
| 1992177208 | Holly Hagglund | Naturopath | 7206 267th St Nw, Ste 102, Stanwood, WA 98292-6269 | 2015-10-26 |
| 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.