Trevor Dwyer Sevigny, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00002460 Issued in WA

Practice address

90390 Gardner Loop Road
Tacoma, WA 98431-2112

Phone

(253) 968-6478

Fax

(206) 624-0766

NPI assigned

Feb 21, 2007

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seattle Acupuncture Associates

  • Acupuncturist
  • Seattle, WA
  • NPI 1104996339
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1093850349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9039 GARDNER LOOP ROAD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "253-968-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90390 GARDNER LOOP ROAD",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984312112",
            "telephone_number": "253-968-6478",
            "fax_number": "206-624-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVIGNY",
        "first_name": "TREVOR",
        "middle_name": "DWYER",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Ruth Seve
• Kathleen Elizabeth Severeid, DPT
• Shawn Michael Severse, CDP
• Madison Ann Severson
• Lynnette Severy, M.S., R.D., C.D.
• Janelle F Sevilla Mendoza
• Michael Scott Seward, M.D.
• Risha Sexton, ARNP
• Sexual Assault Center of Pierce County
• Nicole Shackelford, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.