Joshua L Green, LAC, EAMP, MQP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60244418 Issued in WA

Practice address

611 Main St
Suite a
Edmonds, WA 98020-3096

Phone

(425) 256-7798

Fax

(425) 274-3409

NPI assigned

Sep 26, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sacred Root Acupuncture & Naturopathic Medicine

  • Acupuncturist
  • Edmonds, WA
  • NPI 1760755425
  NPD (past) Authorized official

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1295018208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MAIN ST",
            "address_2": "SUITE A",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203096",
            "telephone_number": "425-256-7798",
            "fax_number": "425-274-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MAIN ST",
            "address_2": "SUITE A",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203096",
            "telephone_number": "425-256-7798",
            "fax_number": "425-274-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOSHUA",
        "middle_name": "L",
        "credential": "LAC, EAMP, MQP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "155797",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60244418",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "1105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley John Gray, MOTRL, CHT
• Scott W Gray, CRNA
• Sharon Kay Gray, CRNA
• Alice B Green, BSN, RN
• David W Green, RPH
• Terry A Green, MS, LMFTA
• Christopher Gordon Greenman, MD
• Bryan Larry Gregory, D.C.
• Montana Gregory, M.A., CCC-SLP
• Julie Anne Gregoryk, MSPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.