Autumn Ta, EAMP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60454090 Issued in WA

Practice address

6869 Woodlawn Ave NE
Suite 208
Seattle, WA 98115-5469

Phone

(206) 535-8867

NPI assigned

Aug 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Ta Former name

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.

• Full Circle Natural Medicine

  • Naturopath
  • Seattle, WA
  • NPI 1629412838

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1104293471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 141ST CT SE",
            "address_2": "APT F106",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076757",
            "telephone_number": "206-335-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6869 WOODLAWN AVE NE",
            "address_2": "SUITE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155469",
            "telephone_number": "206-535-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "AUTUMN",
        "credential": "EAMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60454090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "TA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• T & T Chiropractic LLC
• T & T Nguyen DD PS
• T. Vuong DDS LLC
• An Phuc Doan Ta, MD
• Anh Hong Ta, ARNP
• Cindy Nguyen Ta, PHARM.D.
• Loan Ta
• Maimy Ta, DC
• Phat Chan Ta, DENTAL HYGIENIST
• Valerie Ta

• 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 Aug 21, 2015; 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.