Provider Demographics
NPI:1053579243
Name:BAPTIST, SUMMER (ND)
Entity type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:
Last Name:BAPTIST
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 SEAVIEW AVE NW STE 300
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2628
Mailing Address - Country:US
Mailing Address - Phone:678-243-8095
Mailing Address - Fax:
Practice Address - Street 1:6135 SEAVIEW AVE NW STE 300
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-2628
Practice Address - Country:US
Practice Address - Phone:678-243-8095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-25
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND180175F00000X
WANT61368374175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WANT61368374OtherLICENSE
WAAC61377126OtherLICENSE