Individual provider Active NPI

Kim Blaufuss, L.AC

  • Acupuncturist
  • Ridgefield, WA
National Provider Identifier
1053698571
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 60251668 Issued in WA
Practice address
1711 N Heron Dr
Ridgefield, WA 98642-9684
Phone
(360) 773-1566
Fax
(360) 313-6458
NPI assigned
Nov 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 60251668 WA Primary

Addresses

Primary practice location

1711 N Heron Dr
Ridgefield, WA 98642-9684

Mailing address

1711 N Heron Dr
Ridgefield, WA 98642-9684
Phone (360) 773-1566

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
AC 60251668WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Acupuncture, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1053698571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 N HERON DR",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986429684",
            "telephone_number": "360-773-1566",
            "fax_number": "360-313-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 N HERON DR",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986429684",
            "telephone_number": "360-773-1566",
            "fax_number": "360-313-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUFUSS",
        "first_name": "KIM",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60251668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.