NPIMap

Individual provider Active NPI

Susan Rooney Wellman, L.AC., LMP

  • Acupuncturist
  • Mount Vernon, WA
National Provider Identifier
1326268749
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00001923 Issued in WA
Practice address
403 Myrtle St
Mount Vernon, WA 98273-3849
Phone
(360) 419-7337
Fax
(360) 419-7337
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 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 AC00001923 WA Primary
Massage Therapist 225700000X MA00003528 WA

Addresses

Primary practice location

403 Myrtle St
Mount Vernon, WA 98273-3849

Mailing address

403 Myrtle St
Mount Vernon, WA 98273-3849
Phone (360) 419-7337

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AC00001923WAMDAcupuncturist
MA00003528WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well Pathways LLC Acupuncturist PastSince Aug 30, 2023 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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1326268749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MYRTLE ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733849",
            "telephone_number": "360-419-7337",
            "fax_number": "360-419-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MYRTLE ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733849",
            "telephone_number": "360-419-7337",
            "fax_number": "360-419-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLMAN",
        "first_name": "SUSAN",
        "middle_name": "ROONEY",
        "name_prefix": "Ms.",
        "credential": "L.AC., LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00001923",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00003528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.