Timothy Robert Blee, M.AC, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60199210 Issued in WA

Practice address

1120 18TH St
Anacortes, WA 98221-2306

Phone

(360) 770-8861

NPI assigned

Feb 13, 2008

Sex

Male

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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1154599090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 18TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212306",
            "telephone_number": "360-770-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 18TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212306",
            "telephone_number": "360-770-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEE",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "M.AC, L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0489",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60199210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE",
            "identifier": "AC60199210",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.