Individual provider Active NPI

Erin E Stewart, DAOM, LMT, L.AC.

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1154872208
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60716212 Issued in WA
Practice address
3417 Evanston Ave N Ste 428
Seattle, WA 98103-8970
Phone
(425) 318-9561
Fax
(877) 393-1378
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00020042 WA
Acupuncturist 171100000X AC60716212 WA Primary

Addresses

Primary practice location

3417 Evanston Ave N Ste 428
Seattle, WA 98103-8970

Mailing address

5004 Hubbard Hill Rd
Oak Harbor, WA 98277-9613
Phone (425) 318-9561

Other names 1

  • Evonne Nelson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ancient-healing-arts.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC60716212WAMDAcupuncturist
MA00020042WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ancient Healing Arts, PLLC CurrentSince Dec 8, 2024 Accepting new patients

Locations

3417 Evanston Ave N
Ste 428
Seattle, WA 98103
Phone (206) 720-1446

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1154872208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 HUBBARD HILL RD",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982779613",
            "telephone_number": "425-318-9561",
            "fax_number": "877-393-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N STE 428",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038970",
            "telephone_number": "425-318-9561",
            "fax_number": "877-393-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ERIN",
        "middle_name": "E",
        "credential": "DAOM, LMT, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020042",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60716212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ancient-healing-arts.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic information",
            "address_1": "3417 Evanston Ave N Ste 428",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981038970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EVONNE",
            "last_name": "NELSON",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.