NPIMap

Individual provider Active NPI

Melissa Chavon Yaden, EAMP, LMT

  • Acupuncturist
  • Port Townsend, WA
National Provider Identifier
1184928483
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60185523 Issued in WA
Practice address
1233 Lawrence St Ste 102
Port Townsend, WA 98368-6554
Phone
(360) 434-0670
NPI assigned
Dec 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 MA60198889 WA
Acupuncturist 171100000X AC60185523 WA Primary

Addresses

Primary practice location

1233 Lawrence St Ste 102
Port Townsend, WA 98368-6554

Mailing address

PO Box 693
Chimacum, WA 98325-0693
Phone (360) 434-0670

Other practice location 1

6659 Kimball Dr Ste C301
Gig Harbor, WA 98335-5139
Phone (360) 434-0670

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Acusimple 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC60185523WAMDAcupuncturist
MA60198889WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Acupuncture, PS Acupuncturist Past Accepting new patients

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": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1184928483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693",
            "city": "CHIMACUM",
            "state": "WA",
            "postal_code": "983250693",
            "telephone_number": "360-434-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LAWRENCE ST STE 102",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686554",
            "telephone_number": "360-434-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6659 Kimball Dr Ste C301",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983355139",
            "country_code": "US",
            "telephone_number": "360-434-0670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADEN",
        "first_name": "MELISSA",
        "middle_name": "CHAVON",
        "credential": "EAMP, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60198889",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60185523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Acusimple",
            "affiliation": "N",
            "endpointDescription": "EHR-electronic billing , patient portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR, Private messaging through patient portal",
            "address_1": "1233 Lawrence St Ste 102",
            "city": "Port Townsend",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983686554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.