Active NPI
Scott Marshall Decouto, L.AC.
- Acupuncturist
- Kirkland, WA
National Provider Identifier
1013035005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00002815
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC00002815 | WA | MD | Acupuncturist |
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.