Evan Lebow-Wolf, LMP, EAMP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 60268399 Issued in WA

Practice address

1421 Western Ave
Seattle, WA 98101-2021

Phone

(206) 624-3590

NPI assigned

Jun 4, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Matt Brown-Ruegg DC PS

  • Chiropractor
  • Seattle, WA
  • NPI 1295941458
  NPD (past)

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1063773240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 20TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156946",
            "telephone_number": "734-272-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 WESTERN AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012021",
            "telephone_number": "206-624-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOW-WOLF",
        "first_name": "EVAN",
        "credential": "LMP, EAMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60268399",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60268328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua M Leblang, LMHC, LCPC
• Antoine Leblond, MD
• Catherine Louise Leblond, AUD
• Bethlehem Lebneh
• Johnny Lee Lebord, M.P.
• E. Houston Lebrun, LMP
• Nicolae Leca
• Terri A. Lechnyr, PH.D., LCSW
• Patricia S Leckenby, ARNP
• John H Lecky

• Acupuncturist in Seattle, WA
• Providers in Seattle, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.