Individual provider Active NPI

Maya Vajra, LAC

  • Acupuncturist
  • Bellevue, WA
National Provider Identifier
1225215643
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00001993 Issued in WA
Practice address
1300 114TH Ave SE Ste 105
Bellevue, WA 98004-6958
Phone
(206) 300-1530
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00001993 WA Primary

Addresses

Primary practice location

1300 114TH Ave SE Ste 105
Bellevue, WA 98004-6958

Mailing address

513 NW Bright St Ste B
Seattle, WA 98107-4450
Phone (206) 300-1530

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
AC00001993WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1225215643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 NW BRIGHT ST STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074450",
            "telephone_number": "206-300-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 114TH AVE SE STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046958",
            "telephone_number": "206-300-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAJRA",
        "first_name": "MAYA",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00001993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.