OrganizationActive
Extraordinary Wellness, PLLC
NPI 1063184679 · Naturopath · Bothell, WA
Provider details
- NPI number
- 1063184679
- Entity type
- Organization
- Primary specialty
- NaturopathOther Service Providers
- Organization subpart
- No
- Authorized official
- Marissa Boyd, Owner, Managing Member(928) 303-1593
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21410 1st Ave W Unit B
Bothell, WA 98021-7514
Phone: (928) 303-1593
Street-level locationGet directions
Mailing address
21410 1st Ave W Unit B
Bothell, WA 98021-7514
Registry dates
- Enumerated
- 2021-10-01
- Last updated
- 2021-10-01
- Certified
- 2021-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.