Individual provider Active NPI

Kathryn Corell Tooker, L.AC., M.AC.OM, EAMP

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1366723009
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
60241130 Issued in WA
Practice address
1407 NW 70TH St
Seattle, WA 98117
Phone
(206) 518-7631
Fax
(888) 608-9987
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 60241130 WA Primary

Addresses

Primary practice location

1407 NW 70TH St
Seattle, WA 98117

Mailing address

212 NW 60TH St
Seattle, WA 98107-2035
Phone (206) 518-7631

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

LicenseStateTypeSpecialty
60241130WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1366723009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NW 60TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072035",
            "telephone_number": "206-518-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 NW 70TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98117",
            "telephone_number": "206-518-7631",
            "fax_number": "888-608-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOKER",
        "first_name": "KATHRYN",
        "middle_name": "CORELL",
        "credential": "L.AC., M.AC.OM, EAMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60241130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.