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Deactivated NPI 1083976559 Deactivated / Inactive NPI Female Practitioner

Dr. Katie Lundberg , ND, LAC

Naturopath • Kirkland, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Katie Lundberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 11, 2012
NPI Deactivation Date September 24, 2019
Total Practice Duration ~7 Years of Practice (2012 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Katie Lundberg, ND, LAC was a registered Naturopath practicing in Kirkland, WA. Throughout an active medical career spanning 7 years, Dr. Lundberg provided care at the practice location at 11821 NE 128TH ST STE H until profile deactivation on 2019-09-24.

Practice Location & Contact Primary Location

Practice Address

11821 Ne 128th St Ste H

Kirkland, WA 980347210

Telephone 2066186549
Fax 4259686367
Associated Practice Facility / Clinic
🏢 Cedar Natural Medicine Pll Facility NPI 1447676804

Specialty Benchmarks & Practice Insights

Comparative analytics for Naturopath in Kirkland, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Kirkland, WA (1555 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Naturopath Primary Specialty

NUCC Taxonomy Code: 175F00000X

State License WA NT60187892

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.

Acupuncturist

NUCC Taxonomy Code: 171100000X

State License WA AC60140585

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1316126667

Doctor of Naturopathic Medicine

NPI 1831471358

NDLACEAMP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location November 27, 2019

Registered at 11821 NE 128TH ST STE H, KIRKLAND, WA 980347210 (Tel: 2066186549)

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Updated Business Mailing Address November 27, 2019

Registered at 13128 TOTEM LAKE BLVD NE STE 206, KIRKLAND, WA 980342953 (Tel: 4252294920)

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Provider Name / Credentials Updated November 27, 2019

Recorded as KATIE LUNDBERG, N.D., L.AC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2019

Acupuncturist (License #AC60140585 in WA)

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NPI Profile Deactivated September 24, 2019

Record deactivated on September 24, 2019

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Updated Business Mailing Address May 28, 2019

Registered at 13128 TOTEM LAKE BLVD NE STE 206, KIRKLAND, WA 980342953 (Tel: 4252294920)

NPI Profile Active August 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2014

Registered at 11821 NE 128TH ST STE H, KIRKLAND, WA 980347210 (Tel: 2066186549)

📍
Updated Business Mailing Address August 27, 2014

Registered at 11821 NE 128TH ST STE H, KIRKLAND, WA 980347210 (Tel: 2066186549)

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Provider Name / Credentials Updated August 27, 2014

Recorded as KATIE LUNDBERG, N.D., L.AC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2014

Acupuncturist (License #AC60140585 in WA)

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Initial NPI Registration & Enumeration June 11, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083976559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2012
Last Update: November 27, 2019
Deactivation Date: September 24, 2019
Sole Proprietor: Yes

Mailing Address

13128 Totem Lake Blvd Ne Ste 206

Kirkland, WA 980342953

Phone: 4252294920

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.