Active NPI
Sandra Richard, MACOM
- Acupuncturist
- Friday Harbor, WA
National Provider Identifier
1174679666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 573
- Practice address
- 50 Web St
Friday Harbor, WA 98250-9580 - Phone
- (360) 378-3331
- NPI assigned
- Jan 26, 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 | 573 | WA | Primary |
Addresses
Primary practice location
50 Web St
Friday Harbor, WA 98250-9580
Mailing address
50 Web St
Friday Harbor, WA 98250-9580
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 |
|---|---|---|---|
| 573 | WA | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174679666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 WEB ST",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982509580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WEB ST",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982509580",
"telephone_number": "360-378-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "SANDRA",
"credential": "MACOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.