Individual provider Active NPI

Wenzhen Jin, PH.D., L.AC.

  • Acupuncturist
  • Kirkland, WA
National Provider Identifier
1083827927
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000429 Issued in WA
Practice address
13118 121St Way NE
Suite 100
Kirkland, WA 98034-3004
Phone
(206) 979-3149
Fax
(425) 820-2942
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00000429 WA Primary

Addresses

Primary practice location

13118 121St Way NE
Suite 100
Kirkland, WA 98034-3004

Mailing address

12919 NE 147TH PL
Woodinville, WA 98072-4634
Phone (206) 979-3149

Other names 1

  • Dr. Lori Jin Other name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AC00000429WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1083827927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12919 NE 147TH PL",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724634",
            "telephone_number": "206-979-3149",
            "fax_number": "425-820-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13118 121ST WAY NE",
            "address_2": "SUITE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343004",
            "telephone_number": "206-979-3149",
            "fax_number": "425-820-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "WENZHEN",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "JIN",
            "prefix": "DR.",
            "credential": "PH.D., L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.