Tieyan Shang, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60086617 Issued in WA

Practice address

30 Lake Shore PLZ Ste B
Kirkland, WA 98033-6175

Phone

(425) 999-1627

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1326170366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1724",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980401724",
            "telephone_number": "305-389-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LAKE SHORE PLZ STE B",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336175",
            "telephone_number": "425-999-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANG",
        "first_name": "TIEYAN",
        "name_prefix": "Mrs.",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP1792",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60086617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pina Shah Mehta, D.P.T.
• Akhil B Shah, M.D.
• Hinal Shah, PHARM.D
• Jighna Shah, PHARMD
• Kari An Shandley, D.C.
• Allegra Shank, P.T.A
• Rebecca Shanley
• Daniel Shao, D.O
• Navid Sharif, DMD
• Ali Sharifian, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.