Serena Whitridge, DSOM, LAC, MSCN

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC201586 Issued in OR

Practice address

418 NE Tohomish Street Suite 200
White Salmon, WA 98623-9862

Phone

(203) 536-0535

NPI assigned

Nov 3, 2020

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

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.

• White Salmon Acupuncture LLP

  • Acupuncturist
  • White Salmon, WA
  • NPI 1659017689
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1083215388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 179",
            "city": "HUSUM",
            "state": "WA",
            "postal_code": "986230179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 NE TOHOMISH STREET SUITE 200",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986239862",
            "telephone_number": "203-536-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITRIDGE",
        "first_name": "SERENA",
        "credential": "DSOM, LAC, MSCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2022-05-13",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC201586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Welch, D.A.O.M, L.AC,
• Wellness LLC
• White Salmon Acupuncture LLP
• White Salmon Family Practice Clinic
• White Salmon Valley School District
• Denison F Wiedman, LMT
• Wild Remembrance LLC
• Amy Williams
• David Wiltsie
• Elizabeth Nye Winner, OTD, OTR/L

• Acupuncturist in White Salmon, WA
• Providers in White Salmon, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.