Charleen Marie Van Horn, L.AC., LMP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00002418 Issued in WA

Practice address

110 Cedar Ave
Suite 101
Snohomish, WA 98290-2900

Phone

(360) 282-4014

Fax

(360) 282-4017

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1023219532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 167TH PL SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128002",
            "telephone_number": "360-282-4014",
            "fax_number": "360-282-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CEDAR AVE",
            "address_2": "SUITE 101",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902900",
            "telephone_number": "360-282-4014",
            "fax_number": "360-282-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HORN",
        "first_name": "CHARLEEN",
        "middle_name": "MARIE",
        "credential": "L.AC., LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.