Individual provider Active NPI

Yvonne Claire Pastika, LAC LMP

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1285894303
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00003085 Issued in WA
Practice address
821 E Thomas St
Seattle, WA 98102-5478
Phone
(206) 324-5433
Fax
(206) 324-1646
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00003085 WA Primary
Massage Therapist 225700000X MA00004687 WA

Addresses

Primary practice location

821 E Thomas St
Seattle, WA 98102-5478

Mailing address

PO Box 20265
Seattle, WA 98102-9998
Phone (206) 329-6488

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
AC00003085WAMDAcupuncturist
MA00004687WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1285894303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20265",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981029998",
            "telephone_number": "206-329-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E THOMAS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025478",
            "telephone_number": "206-324-5433",
            "fax_number": "206-324-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTIKA",
        "first_name": "YVONNE",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "LAC LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00003085",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00004687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 12, 2008; 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.