Individual provider Active NPI

Scott Marshall Decouto, L.AC.

  • Acupuncturist
  • Kirkland, WA
National Provider Identifier
1013035005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002815 Issued in WA
Practice address
143 Park LN
Suite 204
Kirkland, WA 98033-6172
Phone
(206) 992-1231
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00002815 WA Primary

Addresses

Primary practice location

143 Park LN
Suite 204
Kirkland, WA 98033-6172

Mailing address

11410 NE 124TH St
#350
Kirkland, WA 98034-4305
Phone (206) 992-1231

Other names 1

  • Mr. Marshall Decouto Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00002815WAMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013035005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 NE 124TH ST",
            "address_2": "#350",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344305",
            "telephone_number": "206-992-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 PARK LN",
            "address_2": "SUITE 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336172",
            "telephone_number": "206-992-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOUTO",
        "first_name": "SCOTT",
        "middle_name": "MARSHALL",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARSHALL",
            "last_name": "DECOUTO",
            "prefix": "MR.",
            "credential": "L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.