Active NPI
Lea Tennenbaum
- Acupuncturist
- Bellevue, WA
National Provider Identifier
1336893544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC61229669
- Practice address
- 14810 Lake Hills Blvd Ste A2
Bellevue, WA 98007-5820 - Phone
- (425) 503-3069
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60897624 | WA | |
| Acupuncturist | 171100000X | AC61229669 | WA | Primary |
Addresses
Primary practice location
14810 Lake Hills Blvd Ste A2
Bellevue, WA 98007-5820
Mailing address
PO Box 665
Snoqualmie, WA 98065-0665
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC61229669 | WA | MD | Acupuncturist |
| MA60897624 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1336893544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 665",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980650665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14810 LAKE HILLS BLVD STE A2",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075820",
"telephone_number": "425-503-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNENBAUM",
"first_name": "LEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60897624",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC61229669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.