Active NPI
Lise Takashina, L.AC.
- Acupuncturist
- Coeur D Alene, ID
National Provider Identifier
1114449741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU-336
- Practice address
- 302 N 5TH St
Coeur D Alene, ID 83814-2814 - Phone
- (831) 332-0587
- Fax
- (831) 332-0587
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU-336 | ID | Primary |
Addresses
Primary practice location
302 N 5TH St
Coeur D Alene, ID 83814-2814
Mailing address
PO Box 1724
Coeur D Alene, ID 83816-1724
Phone (208) 292-4829
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACU-336 | ID | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1114449741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1724",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838161724",
"telephone_number": "208-292-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 N 5TH ST",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142814",
"telephone_number": "831-332-0587",
"fax_number": "831-332-0587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKASHINA",
"first_name": "LISE",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "ID",
"license": "ACU-336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.