NPIMap

Organization Active NPI

Jet City Acupuncture & Wellness, PLLC

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1255994935
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
JET CITY ACUPUNCTURE & WELLNESS, PLLC
Practice address
5130 15TH Ave S
Seattle, WA 98108-2316
Phone
(360) 286-4407
NPI assigned
Apr 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
My Nhung Pham Kolb, LAC, EAMPNPI 1972044535
Title
Practitioner, Owner
Phone
(360) 286-4407

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

5130 15TH Ave S
Seattle, WA 98108-2316

Mailing address

5130 15TH Ave S
Seattle, WA 98108-2316
Phone (360) 286-4407

Other names 1

  • Jet City Acupuncture Other name

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": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1255994935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 15TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082316",
            "telephone_number": "360-286-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 15TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082316",
            "telephone_number": "360-286-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET CITY ACUPUNCTURE & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "MY NHUNG",
        "authorized_official_middle_name": "PHAM",
        "authorized_official_title_or_position": "PRACTITIONER, OWNER",
        "authorized_official_telephone_number": "360-286-4407",
        "authorized_official_credential": "LAC, EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jet City Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 17, 2019; 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.