Kirsty Marie Docken, MSOM, L.AC, MA SLP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60208465 Issued in WA

Practice address

706 Market St
Tacoma, WA 98402-3712

Phone

(253) 473-7830

NPI assigned

Jun 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Serenity Spa, Inc.

  dba Serenity Spa & Natural Health Clinic

  • Multi-Specialty Clinic/Center
  • Tacoma, WA
  • NPI 1134384555

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1265726046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 10TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011725",
            "telephone_number": "503-544-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 MARKET ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023712",
            "telephone_number": "253-473-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKEN",
        "first_name": "KIRSTY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSOM, L.AC, MA SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60208465",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davarius Marquis Dobbin
• Jill Marie Dobbins, MD
• Dominique Dobbs
• Jordan M Dobrich
• Nancy Dobson, RT
• Salome Odja Dockendorf
• Donna Lynn Dockter
• Lonny Dockter, LSW
• Doctors Crane Cramer PLLC
• Jessica Dodd

• Acupuncturist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.