Organization Active NPI

Well Rooted Healing, LLC

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1205450111
Registry record updated Feb 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
WELL ROOTED HEALING, LLC
Practice address
4010 Stone Way N Ste 300
Seattle, WA 98103-8099
Phone
(410) 458-8953
NPI assigned
Jun 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2023

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

Authorized official

Name
Karin HoltNPI 1740578541
Title
Principal
Phone
(410) 458-8953

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4010 Stone Way N Ste 300
Seattle, WA 98103-8099

Mailing address

4726 NE 187TH PL
Lake Forest Park, WA 98155-2924
Phone (410) 458-8953

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675555200000",
    "number": "1205450111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 NE 187TH PL",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981552924",
            "telephone_number": "410-458-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 STONE WAY N STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038099",
            "telephone_number": "410-458-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL ROOTED HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "410-458-8953"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2023; 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.