NPIMap

Organization Active NPI

Quan Yin Acupuncture, LLC

  • Acupuncturist
  • Edmonds, WA
National Provider Identifier
1033435870
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60123237 Issued in WA
Legal business name
QUAN YIN ACUPUNCTURE, LLC
Practice address
115 4TH Ave S
Suite B
Edmonds, WA 98020-3515
Phone
(425) 778-2838
Fax
(425) 778-2838
NPI assigned
Apr 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Lindsay Staker, L.AC.NPI 1427370683
Title
Owner, Acupuncturist
Phone
(425) 778-2838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC60123237 WA Primary

Addresses

Primary practice location

115 4TH Ave S
Suite B
Edmonds, WA 98020-3515

Mailing address

115 4TH Ave S
Suite B
Edmonds, WA 98020-3515
Phone (425) 778-2838

National Provider Directory

National Provider Directory

Locations

115 4th Ave S
Ste B
Edmonds, WA 98020
Phone (425) 778-2838

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1033435870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 4TH AVE S",
            "address_2": "SUITE B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203515",
            "telephone_number": "425-778-2838",
            "fax_number": "425-778-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 4TH AVE S",
            "address_2": "SUITE B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203515",
            "telephone_number": "425-778-2838",
            "fax_number": "425-778-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAN YIN ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "STAKER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER, ACUPUNCTURIST",
        "authorized_official_telephone_number": "425-778-2838",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60123237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.