Individual provider Active NPI

Johnathan Loritsch, MACOM, LAC

  • Acupuncturist
  • Tacoma, WA
National Provider Identifier
1245828649
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
61125794 Issued in WA
Practice address
3007 6TH Ave
Tacoma, WA 98406-6202
Phone
(425) 296-9285
NPI assigned
Jan 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 61125794 WA Primary

Addresses

Primary practice location

3007 6TH Ave
Tacoma, WA 98406-6202

Mailing address

3007 6TH Ave
Tacoma, WA 98406-6202
Phone (425) 296-9285

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.motherevergreenacupuncture.com Direct

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
61125794WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Foster Wellness Acupuncturist PastSince Jan 1, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1245828649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066202",
            "telephone_number": "425-296-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066202",
            "telephone_number": "425-296-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORITSCH",
        "first_name": "JOHNATHAN",
        "credential": "MACOM, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-02",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "61125794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.motherevergreenacupuncture.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Phonecall",
            "address_1": "3007 6th Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984066202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.