Edmonds Wellness Massage and Acupuncture

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00021455 Issued in WA

Legal business name

EDMONDS WELLNESS MASSAGE AND ACUPUNCTURE

Practice address

21920 76TH Ave W
Suite 130
Edmonds, WA 98026-7980

Phone

(425) 776-3800

Fax

(425) 776-8344

NPI assigned

Apr 7, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Kehaulani Johnson, LMP

Title

Partner/Therapist

Phone

(425) 776-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1407099419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21920 76TH AVE W",
            "address_2": "SUITE 130",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267980",
            "telephone_number": "425-776-3800",
            "fax_number": "425-776-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21920 76TH AVE W",
            "address_2": "SUITE 130",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267980",
            "telephone_number": "425-776-3800",
            "fax_number": "425-776-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS WELLNESS MASSAGE AND ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "KEHAULANI",
        "authorized_official_title_or_position": "PARTNER/THERAPIST",
        "authorized_official_telephone_number": "425-776-3800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00021455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "193400000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmonds Psychological and Pastoral Care
• Edmonds Rheumatology Associates Incorporated
• Edmonds Vision Center PS Inc
• Edmonds Wellness Clinic
• Edmonds Wellness Clinic, Inc
• Edmonds-Woodway Chiropractic LLC
• Josephine Jessie Gidel Edmondson
• Bria J Effertz, M.S.W., MHP
• Anne W Egleston Gerich, FNP BC
• William Frederick Ehni, M.D.

• Specialist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.