Jessica Gallegos-White, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60992239 Issued in WA

Practice address

513 Bay St Ste 2
Port Orchard, WA 98366-5301

Phone

(360) 990-8877

Fax

(360) 874-7707

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inner Wisdom Bodywork PLLC

  • Acupuncturist
  • Port Orchard, WA
  • NPI 1346990785
  NPD Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1407075591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TREMONT ST",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663734",
            "telephone_number": "360-990-8877",
            "fax_number": "360-874-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BAY ST STE 2",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665301",
            "telephone_number": "360-990-8877",
            "fax_number": "360-874-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS-WHITE",
        "first_name": "JESSICA",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60992239",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00007705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frontier Therapy LLC
• Fry Chiropractic
• Jeffery Adam Fry, D.C.
• Bailey Elizabeth Fuentes-Rempe, COTA/L
• Elizabeth Fujimoto
• Olivia Claire Gallucci, RN
• Dawn Ewing Galvez, FNP-C
• Abigail Angeles Gantuangco
• Michelle Garcia
• Brittany Garner

• Acupuncturist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.