Active NPI
Sarah Jean Tubbs, LAC
- Acupuncturist
- Olympia, WA
National Provider Identifier
1154587608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 995
- Practice address
- 524 Jefferson St SE
Olympia, WA 98501-1466 - Phone
- (360) 705-0799
- NPI assigned
- Aug 4, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 14545 | WA | |
| Acupuncturist | 171100000X | 995 | NC | Primary |
Addresses
Primary practice location
524 Jefferson St SE
Olympia, WA 98501-1466
Mailing address
1213 19TH Ave SE
Olympia, WA 98501-3005
Phone (360) 402-8799
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 |
|---|---|---|---|
| 995 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 14545 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1154587608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 19TH AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985013005",
"telephone_number": "360-402-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 JEFFERSON ST SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011466",
"telephone_number": "360-705-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBBS",
"first_name": "SARAH",
"middle_name": "JEAN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "14545",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NC",
"license": "995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.