Heather Ann Fairall, L.AC., MSAOM, EAMP
Individual provider Active NPI Acupuncturist · Ferndale, WA
NPI 1386855591 · NPPES record last updated Mar 25, 2017
Key facts
- NPI
- 1386855591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC00002986 (WA)
- Practice address
- 5683 2ND Ave
Ferndale, WA 98248-8611 - Phone
- (360) 305-9224
- Fax
- (855) 230-4971
- NPI assigned
- May 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00002986 | WA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00002986 | WA | Yes |
Addresses
Primary practice location
5683 2ND Ave
Ferndale, WA 98248-8611
Mailing address
PO Box 29792
Bellingham, WA 98228-1792
Phone (360) 305-9224
Other names
- Heather Ann Falkenbury
Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.