Active NPI
Stacy Lutz, LIC. AC., LMP
- Acupuncturist
- Eastsound, WA
National Provider Identifier
1164617528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 240
- Practice address
- 141 Prune Alley
Suite 109
Eastsound, WA 98245 - Phone
- (360) 472-0288
- NPI assigned
- Sep 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 240 | WA | Primary |
Addresses
Primary practice location
141 Prune Alley
Suite 109
Eastsound, WA 98245
Mailing address
PO Box 586
Eastsound, WA 98245-0586
Phone (360) 472-0288
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 |
|---|---|---|---|
| 240 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1164617528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 586",
"city": "EASTSOUND",
"state": "WA",
"postal_code": "982450586",
"telephone_number": "360-472-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 PRUNE ALLEY",
"address_2": "SUITE 109",
"city": "EASTSOUND",
"state": "WA",
"postal_code": "98245",
"telephone_number": "360-472-0288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "STACY",
"credential": "LIC. AC., LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastsound, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.