NPIMap

Organization Active NPI

Inner Wisdom Bodywork PLLC

  • Acupuncturist
  • Port Orchard, WA
National Provider Identifier
1346990785
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
INNER WISDOM BODYWORK PLLC
Practice address
1140 Bethel Rd. SE
Suite 110
Port Orchard, WA 98366
Phone
(360) 443-6508
Fax
(360) 397-0364
NPI assigned
Mar 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Jessica Gallegos-White, LAC., LMTNPI 1407075591
Title
Owner
Phone
(360) 990-8877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

1140 Bethel Rd. SE
Suite 110
Port Orchard, WA 98366

Mailing address

340 Tremont St
Port Orchard, WA 98366-3734
Phone (360) 990-8877

Other names 1

  • Inner Wisdom Acupuncture and Herbal Medicine, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

2497 Bethel Rd SE
Ste 102
Port Orchard, WA 98366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1346990785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TREMONT ST",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663734",
            "telephone_number": "360-990-8877",
            "fax_number": "360-397-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BETHEL RD. SE",
            "address_2": "SUITE 110",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-443-6508",
            "fax_number": "360-397-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER WISDOM BODYWORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS-WHITE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-990-8877",
        "authorized_official_credential": "LAC., LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Wisdom Acupuncture and Herbal Medicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.