Molly Ann Defazio, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00000674 Issued in WA

Practice address

819 Harvey Rd NE
Auburn, WA 98002-4225

Phone

(425) 780-7502

Fax

(888) 975-7980

NPI assigned

Sep 18, 2015

Last updated

May 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Defazio Grewell Acupuncture, Inc.

  dba Auburn Acupuncture Clinic

  • Acupuncturist
  • Auburn, WA
  • NPI 1083143952
  NPD Authorized official

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1194194381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 HARVEY RD NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024225",
            "telephone_number": "425-736-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 HARVEY RD NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024225",
            "telephone_number": "425-780-7502",
            "fax_number": "888-975-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFAZIO",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000674",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Germaine Decoteau, PAC
• Stephanie Decremer, ATC
• Judi M Dedge, LMP
• William G. Dedge, DC
• Defazio Grewell Acupuncture, Inc. (Auburn Acupuncture Clinic)
• Justin Degenhardt, DPT
• Angelica Anabella Del Razo, COTA
• Thomas James Del Rio, SUDPT
• Anna Marie Delarosby, DPT
• Kerry-Ann Delevante Dennis, M.S. CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.