Joleen Denise Black, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60530881 Issued in WA

Practice address

8827 31St Ave SW # 1
Seattle, WA 98126-3718

Phone

(206) 841-4031

Fax

(206) 973-2747

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• 35TH Avenue Chiropractic PLLC

  • Chiropractor
  • Seattle, WA
  • NPI 1457490542
  NPD (past)
• Stefan Black DC LLC

  • Chiropractor
  • Seattle, WA
  • NPI 1801156179
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1104037860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8827 31ST AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263718",
            "telephone_number": "206-841-4031",
            "fax_number": "206-973-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8827 31ST AVE SW # 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263718",
            "telephone_number": "206-841-4031",
            "fax_number": "206-973-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JOLEEN",
        "middle_name": "DENISE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020122",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60530881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "219893",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliza Black, PA-C
• Ellis Luca Black, MD
• Erica Lynn Black, LMP
• Erin Mary Black, LMP
• Hayden Black, DDS
• Joseph Andrew Black, CPC
• Leah Rose Black, LMHCA
• Megan Rose Black, OTR
• Michael R Black
• Nathan Michael Andrew Black

• Acupuncturist in Seattle, WA
• Providers in Seattle, 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, 2020; 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.