Nathaniel Brandon Leahy, LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60071465 Issued in WA

Practice address

16821 SE McGillivray Blvd Ste 110
Vancouver, WA 98683-0401

Phone

(360) 953-8740

NPI assigned

Feb 17, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1376782128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16821 SE MCGILLIVRAY BLVD STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986830401",
            "telephone_number": "360-953-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16821 SE MCGILLIVRAY BLVD STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986830401",
            "telephone_number": "360-953-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "NATHANIEL",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LAC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60071465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE ACUPUNCTURE LICENSE",
            "identifier": "AC60071465",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pm.officeally.com/pm/",
            "affiliation": "N",
            "endpointDescription": "Practice Management Software and EMR",
            "address_1": "16821 SE McGillivray Blvd Ste 110",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986830401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• William Lee Le
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• Bret William League, LPN
• Melissa Maureen Leak, PT
• Alma Leal
• Jaqueline Leanos Alvarez
• Heather Leap, MSW
• Megan Learing, MASSAGE THERAPIST

• Acupuncturist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.