ABUNDANT INTEGRATIVE MEDICINE PLLC — NPI 1760131411 (Licensed & Credentialed Naturopath in EDMONDS, WA)

CMS-1500 Box 24J / 33a • NPI

1760131411

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

175F00000X

Licensed & Credentialed Naturopath

Box 32 Service Location & ZIP+4

21616 76TH AVE W, EDMONDS, WA, 98026-7512

✓ 9-Digit EDI 837 ZIP+4 (98026-7512)

Practice Phone & Referral Fax

(360) 282-4014

Fax: (425) 712-7196

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760131411 (ABUNDANT INTEGRATIVE MEDICINE PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1760131411` (NPI-2 Organization / Facility)
Provider / Legal Name	ABUNDANT INTEGRATIVE MEDICINE PLLC
Plain-English Specialty	Licensed & Credentialed Naturopath NUCC Code: `175F00000X` (Naturopath)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	21616 76TH AVE W, EDMONDS, WA, 98026-7512
Practice Telephone / Fax	Tel: (360) 282-4014 \| Fax: (425) 712-7196
Administrative Mailing Address	21616 76TH AVE W STE 107, EDMONDS, WA, 98026-7512
Enumeration & Last Sync	Enumerated: 2022-03-21 \| CMS Record Updated: 2026-02-02
Authorized Official	SUDIKSHYA BASKOTA (Naturopathic Doctor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

21616 76TH AVE W, EDMONDS, WA, 98026-7512

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Plain-English Taxonomy & CMS Crosswalk (175F00000X)

What Does Taxonomy Code 175F00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 175F00000X translates to:
"Licensed & Credentialed Naturopath"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Naturopath for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABUNDANT INTEGRATIVE MEDICINE PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QH0100X` — Clinic/Center, Health Services Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`133N00000X` — Nutritionist Plain English: Licensed & Credentialed Nutritionist	State: N/A \| License: `Verified` \| Primary: Secondary
`175F00000X` — Naturopath Plain English: Licensed & Credentialed Naturopath	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABUNDANT INTEGRATIVE MEDICINE PLLC (NPI #1760131411)