Individual provider Active NPI

Astara Sunrise Burlingame, RN LAC LMP RH

  • Acupuncturist
  • University Place, WA
National Provider Identifier
1205035136
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000056 Issued in WA
Practice address
2603 Bridgeport Way W
Suite J University Place
University Place, WA 98466-4724
Phone
(206) 370-0356
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00000056 WA Primary
Specialist 174400000X MA000001692 WA
Registered Nurse 163W00000X RN00055978 WA

Addresses

Primary practice location

2603 Bridgeport Way W
Suite J University Place
University Place, WA 98466-4724

Mailing address

7040 S 12TH St
3909
Tacoma, WA 98465-2727
Phone (206) 370-0356

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00055978WAMDRegistered Nurse
AC00000056WAMDAcupuncturist
MA000001692WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1205035136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 S 12TH ST",
            "address_2": "3909",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652727",
            "telephone_number": "206-370-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 BRIDGEPORT WAY W",
            "address_2": "SUITE J UNIVERSITY PLACE",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664724",
            "telephone_number": "206-370-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLINGAME",
        "first_name": "ASTARA",
        "middle_name": "SUNRISE",
        "credential": "RN LAC LMP RH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000056",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA000001692",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00055978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.