Individual provider Active NPI

Donley Sissom, L.AC., DIP.AC.

  • Acupuncturist
  • Bellingham, WA
National Provider Identifier
1306309737
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACUP.AC.60948175 Issued in WA
Practice address
1116 Key St Ste 109
Bellingham, WA 98225-5251
Phone
(360) 306-9631
NPI assigned
Apr 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 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 ACUP.AC.60948175 WA Primary

Addresses

Primary practice location

1116 Key St Ste 109
Bellingham, WA 98225-5251

Mailing address

1924 Cascadia LN
Bellingham, WA 98225-4801
Phone (360) 306-9631

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Donley@FlowAcuWellness.com Direct

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
ACUP.AC.60948175WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Flow Acupuncture & Wellness 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1306309737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 CASCADIA LN",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254801",
            "telephone_number": "360-306-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 KEY ST STE 109",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255251",
            "telephone_number": "360-306-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSOM",
        "first_name": "DONLEY",
        "credential": "L.AC., DIP.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "ACUP.AC.60948175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Donley@FlowAcuWellness.com",
            "affiliation": "N",
            "endpointDescription": "Secure business e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1116 Key St Ste 109",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982255251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 11, 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.