NPIMap

Organization Active NPI

Aci Health & Wellness Center

  • Specialist
  • Lynnwood, WA
National Provider Identifier
1083917082
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CH00034792 Issued in WA
Legal business name
ACI HEALTH & WELLNESS CENTER
Practice address
18205 Alderwood Mall Pkwy
Unit K
Lynnwood, WA 98037-3913
Phone
(425) 778-1188
Fax
(425) 778-1188
NPI assigned
Dec 13, 2010
Last updated
Sep 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Lingyi Fan
Title
Office Manager
Phone
(425) 778-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CH00034792 WA Primary

Addresses

Primary practice location

18205 Alderwood Mall Pkwy
Unit K
Lynnwood, WA 98037-3913

Mailing address

18205 Alderwood Mall Pkwy
Unit K
Lynnwood, WA 98037-3913
Phone (425) 778-1188

National Provider Directory

National Provider Directory

Locations

18205 Alderwood Mall Pkwy
Ste K
Lynnwood, WA 98037
Phone (425) 778-1188

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1083917082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 ALDERWOOD MALL PKWY",
            "address_2": "UNIT K",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373913",
            "telephone_number": "425-778-1188",
            "fax_number": "425-778-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 ALDERWOOD MALL PKWY",
            "address_2": "UNIT K",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373913",
            "telephone_number": "425-778-1188",
            "fax_number": "425-778-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACI HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "LINGYI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "425-778-1188"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "CH00034792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.