Individual provider Active NPI

Jamie Lynne Davis, DAOM, LAC.

  • Acupuncturist
  • Sandpoint, ID
National Provider Identifier
1407092604
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-348 Issued in ID
Practice address
200 Main St
Sandpoint, ID 83864-1435
Phone
(208) 264-0644
Fax
(888) 979-6134
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-348 ID Primary
Acupuncturist 171100000X AC600065362 WA
Massage Therapist 225700000X MA00023205 WA

Addresses

Primary practice location

200 Main St
Sandpoint, ID 83864-1435

Mailing address

200 Main St
Sandpoint, ID 83864-1435
Phone (208) 264-0644

Other identifiers 1

IdentifierTypeStateIssuer
ACU-348OtherIDINSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drdavis@lakelifeacu.com Direct

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
ACU-348IDMDAcupuncturist
AC600065362WAMDAcupuncturist
MA00023205WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
9 Crows Acupuncture & Chinese Medicine, LLC Acupuncturist CurrentSince Dec 1, 2019 Accepting new patients
Lake Life Acupuncture, LLC Acupuncturist Past Accepting new patients
Ceiba Acupuncture & Bodywork LLC Acupuncturist Past Accepting new patients

Locations

620 Wellington Pl
#1
Hope, ID 83836
Phone (208) 264-0644

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1407092604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641435",
            "telephone_number": "208-264-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641435",
            "telephone_number": "208-264-0644",
            "fax_number": "888-979-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMIE",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DAOM, LAC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-348",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC600065362",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00023205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "ACU-348",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdavis@lakelifeacu.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30736 Highway 200 Ste 104",
            "city": "Ponderay",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838528701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; 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.