Masako Kitada, EAMP, L.AC, DI.O.M

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60162207 Issued in WA

Practice address

11671 SE 1St Street Suite202
Bellevue, WA 98005

Phone

(425) 577-8074

Fax

(425) 455-0346

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1104954759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11671 SE 1ST STREET SUITE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-577-8074",
            "fax_number": "425-455-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11671 SE 1ST STREET SUITE202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-577-8074",
            "fax_number": "425-455-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITADA",
        "first_name": "MASAKO",
        "credential": "EAMP, L.AC, DI.O.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60162207",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-5042985",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gaylon Kipp, MD
• Christinia Kirk, REGISTERED DIETITIAN
• Marydina Kirkby, RN
• Jacob Arthur Kirkman, M.D.
• Anika Kirscht
• Nozomi Kitagawa, MA, LMHC
• Stephanie Kitamura, O.D.
• Subhadra Shannin Kitching, LMP
• Kitts & Kitts PLLC
• Kjeld Aamodt PC

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

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