{
"Npi": {
"NPI": "1053075184",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANCIENT HEALING ARTS, PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5004 HUBBARD HILL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OAK HARBOR",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98277-9613",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-384-0496",
"MailingAddressFaxNumber": "206-299-4800",
"FirstLinePracticeLocationAddress": "3417 EVANSTON AVE N STE 428",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SEATTLE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98103-8970",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-318-9561",
"PracticeLocationAddressFaxNumber": "877-393-1378",
"EnumerationDate": "10/25/2021",
"LastUpdateDate": "06/28/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEWART",
"AuthorizedOfficialFirstName": "ERIN",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LAC",
"AuthorizedOfficialTelephoneNumber": "425-381-9561",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "175F00000X",
"TaxonomyName": "Naturopath",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}