Jon-Paul Boisvert, EAMP
Individual provider Active NPI Acupuncturist · Kenmore, WA
NPI 1124424312 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1124424312
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC60504883 (WA)
- Practice address
- 18208 66TH Ave NE Ste 200
Kenmore, WA 98028-7949 - Phone
- (425) 814-2045
- Fax
- (425) 814-2738
- NPI assigned
- Nov 14, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC60504883 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Point Services LLC | Acupuncturist | Current | Accepting new patients |
| Katherine Martin, ND PLLC | Past | Accepting new patients | |
| Eastside Natural Medicine | Past |
Accepting new patients |
Locations
18208 66th Ave NE
Ste 200
Kenmore, WA 98028
Phone (425) 286-0466
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC60504883 | WA | Yes |
Addresses
Primary practice location
18208 66TH Ave NE Ste 200
Kenmore, WA 98028-7949
Mailing address
18208 66TH Ave NE Ste 200
Kenmore, WA 98028-7949
Phone (425) 243-3613
NPI Registry JSON
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1124424312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18208 66TH AVE NE STE 200",
"city": "KENMORE",
"state": "WA",
"postal_code": "980287949",
"telephone_number": "425-243-3613",
"fax_number": "425-814-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18208 66TH AVE NE STE 200",
"city": "KENMORE",
"state": "WA",
"postal_code": "980287949",
"telephone_number": "425-814-2045",
"fax_number": "425-814-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOISVERT",
"first_name": "JON-PAUL",
"name_prefix": "Mr.",
"credential": "EAMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-14",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC60504883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.