Active NPI
Diane Fabian, LAC
- Acupuncturist
- Sequim, WA
National Provider Identifier
1356881536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 60694692
- Practice address
- 502 S Still Rd Ste 101
Sequim, WA 98382-3578 - Phone
- (360) 339-4050
- NPI assigned
- Mar 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 60694692 | WA | Primary |
Addresses
Primary practice location
502 S Still Rd Ste 101
Sequim, WA 98382-3578
Mailing address
221 W Railroad Ave, Suite L
Shelton, WA 98584
Phone (360) 339-4050
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 |
|---|---|---|---|
| AC 60694692 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Energies LLC | Acupuncturist | Current | Accepting new patients |
Locations
502 S Still Rd
Ste 101
Sequim, WA 98382
Phone (360) 339-4050
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1356881536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W RAILROAD AVE, SUITE L",
"city": "SHELTON",
"state": "WA",
"postal_code": "98584",
"telephone_number": "360-339-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S STILL RD STE 101",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983823578",
"telephone_number": "360-339-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABIAN",
"first_name": "DIANE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC 60694692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.