Active NPI
Bo Zhang, LMP
- Reflexologist
- Tulalip, WA
National Provider Identifier
1063715720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- MA60194193
- Practice address
- 8825 34TH Ave NE
L-210
Tulalip, WA 98271-8085 - Phone
- (206) 787-2101
- NPI assigned
- Dec 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MA60194193 | WA | Primary |
Addresses
Primary practice location
8825 34TH Ave NE
L-210
Tulalip, WA 98271-8085
Mailing address
PO Box 12543
Everett, WA 98206-2543
Phone (206) 787-2101
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60194193 | WA | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1063715720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12543",
"city": "EVERETT",
"state": "WA",
"postal_code": "982062543",
"telephone_number": "206-787-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8825 34TH AVE NE",
"address_2": "L-210",
"city": "TULALIP",
"state": "WA",
"postal_code": "982718085",
"telephone_number": "206-787-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "BO",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "WA",
"license": "MA60194193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulalip, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.