Susan Anne Groller, RN, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00002867 Issued in WA

Practice address

17311 135TH Ave NE
Suite B300
Woodinville, WA 98072-3519

Phone

(425) 737-6843

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Balance Acupuncture

  • Health Service Clinic/Center
  • Woodinville, WA
  • NPI 1841455649
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073667754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 73RD AVE NE APT A202",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980114992",
            "telephone_number": "425-820-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17311 135TH AVE NE",
            "address_2": "SUITE B300",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980723519",
            "telephone_number": "425-737-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLLER",
        "first_name": "SUSAN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RN, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clausy Sabine Gregg, VA60015439
• Gregory R Jespersen & Cathy L Thosath
• Richard Leo Gregory, MS PT
• Griffin Sonstegard PLLC
• Alexa Groby
• Mary Theresa Guay, LMFT
• Myron Gudmundson, D.C.
• Deepali Gupta
• Haggen, Inc
• Andrew John Hale, LMHCA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.