Individual provider Active NPI

Tiffany Carol Pollard, TIFFANY POLLARD, LAC

  • Acupuncturist
  • Kirkland, WA
National Provider Identifier
1316169337
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00002626 Issued in WA
Practice address
515 Kirkland Way
Kirkland, WA 98033-6219
Phone
(425) 828-4000
Fax
(425) 828-4008
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00002626 WA Primary

Addresses

Primary practice location

515 Kirkland Way
Kirkland, WA 98033-6219

Mailing address

515 Kirkland Way
Kirkland, WA 98033-6219
Phone (425) 260-4733

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
AC00002626WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1316169337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 KIRKLAND WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336219",
            "telephone_number": "425-260-4733",
            "fax_number": "425-828-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 KIRKLAND WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336219",
            "telephone_number": "425-828-4000",
            "fax_number": "425-828-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "TIFFANY",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "TIFFANY POLLARD, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.