Individual provider Active NPI

Kelly Hoeffner, L.AC.

  • Acupuncturist
  • Bellingham, WA
National Provider Identifier
1275031825
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
60785043 Issued in WA
Practice address
114 W Magnolia St Ste 203
Bellingham, WA 98225-4354
Phone
(303) 668-3027
NPI assigned
Jan 29, 2018
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 60785043 WA Primary

Addresses

Primary practice location

114 W Magnolia St Ste 203
Bellingham, WA 98225-4354

Mailing address

262 Sprague Valley Dr
Maple Falls, WA 98266-7833
Phone (303) 668-3027

Other practice location 1

114 W Magnolia St Ste 441
Bellingham, WA 98225-4354
Phone (303) 668-3027

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
60785043WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Holistic Services LLC Acupuncturist Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1275031825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 SPRAGUE VALLEY DR",
            "city": "MAPLE FALLS",
            "state": "WA",
            "postal_code": "982667833",
            "telephone_number": "303-668-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MAGNOLIA ST STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254354",
            "telephone_number": "303-668-3027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 W Magnolia St Ste 441",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982254354",
            "country_code": "US",
            "telephone_number": "303-668-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOEFFNER",
        "first_name": "KELLY",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60785043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.