Individual provider Active NPI

Rachel Daigh Wilson Rodriguez, L.AC., LMP

  • Acupuncturist
  • Redmond, WA
National Provider Identifier
1265579874
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002429 Issued in WA
Practice address
8310 165TH Ave NE
Redmond, WA 98052-3907
Phone
(425) 891-6719
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00002429 WA Primary

Addresses

Primary practice location

8310 165TH Ave NE
Redmond, WA 98052-3907

Mailing address

13643 92ND PL NE
Kirkland, WA 98034-1845
Phone (425) 891-6719

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
AC00002429WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265579874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13643 92ND PL NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980341845",
            "telephone_number": "425-891-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 165TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523907",
            "telephone_number": "425-891-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON RODRIGUEZ",
        "first_name": "RACHEL",
        "middle_name": "DAIGH",
        "name_prefix": "Mrs.",
        "credential": "L.AC., LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.