Individual provider Active NPI

Jodie Danielle Scott, L. AC.

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1063696896
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002918 Issued in WA
Practice address
700 Warren Ave N
Seattle, WA 98109-4027
Phone
(206) 579-1654
Fax
(651) 602-3601
NPI assigned
Dec 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00002918 WA Primary

Addresses

Primary practice location

700 Warren Ave N
Seattle, WA 98109-4027

Mailing address

3530 43Rd Ave W
Seattle, WA 98199-1804
Phone (206) 579-1654

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
AC00002918WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Acupuncture, PS Acupuncturist Past Accepting new patients
Active Physical Therapy LLC Past Accepting new patients

Organizations & group practices 2

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": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1063696896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 43RD AVE W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991804",
            "telephone_number": "206-579-1654",
            "fax_number": "206-400-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WARREN AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094027",
            "telephone_number": "206-579-1654",
            "fax_number": "651-602-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JODIE",
        "middle_name": "DANIELLE",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002918",
            "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 Apr 26, 2022; 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.