Active NPI
Vanessa Cameron, LAC
- Acupuncturist
- Langley, WA
National Provider Identifier
1194533786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC61425022
- Practice address
- 222 Anthes Ave Ste 201
Langley, WA 98260-5100 - Phone
- (512) 934-1917
- NPI assigned
- Dec 27, 2024
- 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 | AC61425022 | WA | Primary |
Addresses
Primary practice location
222 Anthes Ave Ste 201
Langley, WA 98260-5100
Mailing address
2765 Sun Vista Cir
Clinton, WA 98236-9118
Other names 1
- Vanessa Mahoney
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 |
|---|---|---|---|
| AC61425022 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1194533786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2765 SUN VISTA CIR",
"city": "CLINTON",
"state": "WA",
"postal_code": "982369118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 ANTHES AVE STE 201",
"city": "LANGLEY",
"state": "WA",
"postal_code": "982605100",
"telephone_number": "512-934-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "VANESSA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC61425022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "MAHONEY",
"credential": "LAC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Langley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.