Individual provider Active NPI

Miranda Welch, D.A.O.M, L.AC,

  • Acupuncturist
  • White Salmon, WA
National Provider Identifier
1093084857
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
60560608 Issued in WA
Practice address
133 Wnuk Rd
White Salmon, WA 98672-8428
Phone
(503) 740-4772
Fax
(509) 588-7072
NPI assigned
Dec 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 60560608 WA Primary

Addresses

Primary practice location

133 Wnuk Rd
White Salmon, WA 98672-8428

Mailing address

133 Wnuk Rd
White Salmon, WA 98672-8428
Phone (503) 740-4772

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

State licenses

LicenseStateTypeSpecialty
60560608WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Healing LP Acupuncturist PastSince Jul 24, 2022 Accepting new patients
Stellar Acupuncture Inc Acupuncturist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1093084857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WNUK RD",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986728428",
            "telephone_number": "503-740-4772",
            "fax_number": "509-588-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WNUK RD",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986728428",
            "telephone_number": "503-740-4772",
            "fax_number": "509-588-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "MIRANDA",
        "name_prefix": "Dr.",
        "credential": "D.A.O.M, L.AC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60560608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.