Soma Naturopathic

Primary Care Physician for Women in Kirkland, WA

Short Answer

Dr. Sanika Kshirsagar, ND is a primary care physician for women in Kirkland, Washington. Washington State licenses naturopathic physicians as primary care providers, so she can diagnose conditions, order and interpret labs, prescribe, and refer to specialists. Her practice is built around women’s health — hormones, menstrual cycles, thyroid, fertility, perimenopause, pelvic floor, bone and metabolic health — with 60-minute initial visits, a $150/month Direct Primary Care membership, and telehealth across Washington and California.

Yes — an ND Can Be Your Primary Care Provider in Washington

Washington is one of the most established states in the country for naturopathic medicine. Under RCW 18.36A, a licensed naturopathic physician is a primary care provider. In practice that means Dr. Sanika can: • Take a full history and perform physical exams • Order and interpret lab work and imaging • Diagnose and manage acute and chronic conditions • Prescribe within the Washington naturopathic formulary • Refer you to specialists when something belongs with a specialist Licensed NDs complete a four-year, in-residence doctoral program at a CNME-accredited medical school and pass national board exams (NPLEX). Dr. Sanika trained at Bastyr University and holds active licenses in both Washington and California. That is a different credential from an unlicensed "naturopath" or a wellness coach, and it is worth checking whoever you see.

What Women’s Primary Care Covers Here

A primary care relationship with Dr. Sanika covers the standard ground — blood pressure, cardiometabolic risk, thyroid, mental health, preventive screening, acute concerns — and then keeps going into the areas women most often report being rushed through: • Menstrual cycles: pain, heavy bleeding, irregular or missing periods, PMS and PMDD • Hormonal transitions: perimenopause, menopause, postpartum • Fertility: preconception planning, cycle tracking, and support alongside a fertility clinic • Pelvic floor: incontinence, pelvic pain, postpartum recovery, painful sex • Bone health: osteoporosis and bone density risk after menopause • Iron and nutrient status: a routine issue in menstruating women that standard panels often under-investigate • Thyroid and autoimmunity: including Hashimoto's and subclinical patterns • Metabolic health: insulin resistance, PCOS, weight changes that do not respond to the usual advice The initial visit is 60 minutes. That length is the point — it is what makes it possible to connect a cycle problem, a gut problem, and a mood problem in one conversation instead of across three referrals.

Direct Primary Care Membership

For patients who want an ongoing primary care relationship rather than one-off visits, Soma Naturopathic offers a Direct Primary Care (DPC) membership at $150 per month. DPC removes insurance from the middle of the relationship. There are no copays, no claim denials, and no billing codes shaping how long your appointment is allowed to be. You get continuing access to your doctor for a predictable monthly fee. This model tends to suit women who are managing something ongoing — a thyroid condition, PCOS, perimenopause, a gut issue — where the value is in steady adjustment over months rather than a single visit.

Cost and Logistics

AppointmentLengthPrice
Complimentary Intro Call15 minutesFree
Initial Visit60 minutes$200
Follow-Up Visit30 minutes$95
Direct Primary Care PlanOngoing$150/month
Integrated Pelvic Floor Therapy—$95

Cash-pay practice — insurance is not billed. HSA and FSA funds are commonly used. In-person visits are in Kirkland; telehealth is available throughout Washington and California.

Frequently Asked Questions

Can a naturopathic doctor be my primary care physician in Washington?

Yes. Washington State licenses naturopathic physicians as primary care providers under RCW 18.36A. Licensed NDs in Washington diagnose and treat conditions, order and interpret lab work and imaging, perform physical exams, prescribe within their formulary, and refer to specialists. Dr. Sanika Kshirsagar is licensed in Washington and California and completed her doctorate at Bastyr University.

What makes a primary care physician for women different?

A women’s primary care visit covers everything a general primary care visit covers — blood pressure, metabolic and cardiovascular risk, thyroid, mental health, preventive screening — but adds the things that most often get rushed: menstrual cycles, hormonal transitions, fertility, pelvic floor function, bone density after menopause, and iron status. Dr. Sanika builds these into the standard workup rather than treating them as a separate specialty referral.

How much does primary care with Dr. Sanika cost?

A 60-minute initial visit is $200 and a 30-minute follow-up is $95. For ongoing primary care, the Direct Primary Care membership is $150 per month, which covers continuing access rather than per-visit billing. New patients can start with a free 15-minute intro call. The practice is cash-pay; many patients use HSA or FSA funds.

Do you take insurance?

No — Soma Naturopathic is a cash-pay practice and does not bill insurance. That is what makes the 60-minute initial visit and the $150/month Direct Primary Care membership possible. Many patients pay with HSA or FSA funds, and superbills can be provided for you to submit to your plan.

Can I see Dr. Sanika by telehealth?

Yes. Telehealth appointments are available to any resident of Washington or California. In-person visits are at the Kirkland clinic at 12911 120th Ave NE, Suite E-50. Pelvic floor therapy requires an in-person visit; most other primary care and follow-up appointments can be done by telehealth.

Do I have to give up my current doctor?

No. Many patients keep a conventional primary care provider or OB-GYN and see Dr. Sanika alongside them. She routinely coordinates with existing providers so that testing is not duplicated and treatments do not conflict. If you would rather consolidate your primary care in one place, that is also an option.

Women’s Primary Care by City

Bellevue, WABothell, WAIssaquah, WAKenmore, WAKirkland, WARedmond, WASammamish, WAWoodinville, WA

Looking for Help With Something Specific?

Best doctor for endometriosisBest doctor for fertility & trying to conceiveBest doctor for hashimoto's & thyroid diseaseBest doctor for pcos / pmosBest doctor for pelvic pain & pelvic floor dysfunctionBest doctor for perimenopause & menopause

Start With a Free Intro Call

Fifteen minutes with Dr. Sanika to talk through what you are dealing with and whether this is the right fit.

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Dr. Sanika Kshirsagar

Dr. Sanika Kshirsagar, ND

Doctorate of Naturopathic Medicine (ND)

Bastyr University, Kenmore, WA

Last reviewed:byDr. Sanika Kshirsagar, ND