Individual provider Active NPI

Eva Katherine Pannabecker, L.AC.

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1013039437
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
348 Issued in WA
Practice address
2208 NW Market St
Ste. 408
Seattle, WA 98107-4030
Phone
(206) 789-5448
Fax
(206) 706-4994
NPI assigned
Apr 5, 2007
Sex
Female
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 348 WA Primary

Addresses

Primary practice location

2208 NW Market St
Ste. 408
Seattle, WA 98107-4030

Mailing address

6541 10TH Ave NW
Seattle, WA 98117-5208
Phone (206) 297-1792

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
348WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013039437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6541 10TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175208",
            "telephone_number": "206-297-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 NW MARKET ST",
            "address_2": "STE. 408",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074030",
            "telephone_number": "206-789-5448",
            "fax_number": "206-706-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNABECKER",
        "first_name": "EVA",
        "middle_name": "KATHERINE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, 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.