Active NPI
Jamie Lynne Davis, DAOM, LAC.
- Acupuncturist
- Sandpoint, ID
National Provider Identifier
1407092604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU-348
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ACU-348 | Other | ID | INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ACU-348 | ID | MD | Acupuncturist |
| AC600065362 | WA | MD | Acupuncturist |
| MA00023205 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 9 Crows Acupuncture & Chinese Medicine, LLC | Acupuncturist | Current | 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.
-
- Acupuncturist
- Hope, ID
- NPI 1558866749
-
- Acupuncturist
- Sandpoint, ID
- NPI 1841112323
-
- Acupuncturist
- Federal Way, WA
- NPI 1619249828
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.