Individual provider Active NPI

Junmei Jin

  • Acupuncturist
  • Bellevue, WA
National Provider Identifier
1033602628
Registry record updated Feb 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60851098 Issued in WA
Practice address
4317 Factoria Blvd SE Ste C
Bellevue, WA 98006
Phone
(206) 376-0433
NPI assigned
Jun 8, 2018
Last updated
Feb 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60851098 WA Primary

Addresses

Primary practice location

4317 Factoria Blvd SE Ste C
Bellevue, WA 98006

Mailing address

4317 Factoria Blvd SE Ste C
Bellevue, WA 98006-1937
Phone (206) 376-0433

Other practice location 1

160 Roy St
Seattle, WA 98109-4162
Phone (206) 453-4137

Other practice location 2

160 Roy St
Seattle, WA 98109-4162
Phone (206) 453-4137

Other identifiers 1

IdentifierTypeStateIssuer
04156136OtherWAKAISER P ERMANENTE

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
AC60851098WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jin's Acupuncture Clinic Corp Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550361600000",
    "number": "1033602628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 FACTORIA BLVD SE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061937",
            "telephone_number": "206-376-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 FACTORIA BLVD SE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "206-376-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Roy St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981094162",
            "country_code": "US",
            "telephone_number": "206-453-4137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Roy St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981094162",
            "country_code": "US",
            "telephone_number": "206-453-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIN",
        "first_name": "JUNMEI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2019-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60851098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER P ERMANENTE",
            "identifier": "04156136",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.