Organization Active NPI

Spectrum Healing Arts Center Inc

  • Acupuncturist
  • Lynnwood, WA
National Provider Identifier
1124067517
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000011 Issued in WA
Legal business name
SPECTRUM HEALING ARTS CENTER INC
Practice address
3031 205TH PL SW
Lynnwood, WA 98036-7833
Phone
(425) 776-5353
Fax
(425) 776-0575
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carol J Conlon, L.AC.
Title
President
Phone
(425) 776-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC00000011 WA Primary

Addresses

Primary practice location

3031 205TH PL SW
Lynnwood, WA 98036-7833

Mailing address

3031 205TH PL SW
Lynnwood, WA 98036-7833
Phone (425) 776-5353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124067517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 205TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367833",
            "telephone_number": "425-776-5353",
            "fax_number": "425-776-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 205TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367833",
            "telephone_number": "425-776-5353",
            "fax_number": "425-776-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALING ARTS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONLON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-776-5353",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.