Barbara H Kraxberger, LIC. ACU DIPL OF ACU

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60105963 Issued in WA

Practice address

548 Point Brown Ave NE
Ocean Shores, WA 98569

Phone

(509) 998-6317

Fax

(509) 413-1217

NPI assigned

Dec 8, 2012

Last updated

Mar 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1366787905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 OLYMPIC VIEW AVE NE # 1613",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985699552",
            "telephone_number": "509-998-6317",
            "fax_number": "360-940-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 POINT BROWN AVE NE",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "98569",
            "telephone_number": "509-998-6317",
            "fax_number": "509-413-1217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 W State St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "WA",
            "postal_code": "98520",
            "country_code": "US",
            "telephone_number": "509-998-6317",
            "fax_number": "360-940-7194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAXBERGER",
        "first_name": "BARBARA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "LIC. ACU DIPL OF ACU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-08",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60105963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "AC60105963",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Ocean Shores, WA
• Providers in Ocean Shores, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.