Individual provider Active NPI

Shannon Freeman, DAC, DCEM, QIGONG

  • Acupuncturist
  • Bellingham, WA
National Provider Identifier
1407993900
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60254073 Issued in WA
Practice address
1118 Finnegan Way Ste 103
Bellingham, WA 98225-6656
Phone
(360) 366-4216
Fax
(360) 366-4241
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60254073 WA Primary
Athletic Trainer 2255A2300X TAICHIQIGONGPROFF WA

Addresses

Primary practice location

1118 Finnegan Way Ste 103
Bellingham, WA 98225-6656

Mailing address

1118 Finnegan Way Ste 103
Bellingham, WA 98225-6656
Phone (360) 366-4216

Other identifiers 5

IdentifierTypeStateIssuer
2019-01OtherNDACUPUNCTURE LICENSE
NQAOtherWATAI CHI/QIGONG PROFESSIONAL MEMBER
151841OtherWANCCAOM MEMBER
AC60254073OtherWAWASHINGTON STATE
NQAOtherWAQIGONG PROFESSIONAL MEMBER

Other names 1

  • Ms. Shannon Freeman Professional name

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
AC60254073WAMDAcupuncturist
TAICHIQIGONGPROFFWAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Way Massage LLC Acupuncturist Current Accepting new patients

Locations

12 Bellwether Way
Ste 201
Bellingham, WA 98225
Phone (360) 366-4216

1118 Finnegan Way
Ste 103
Bellingham, WA 98225
Phone (360) 366-4216

Organizations & group practices 1

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1407993900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 FINNEGAN WAY STE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256656",
            "telephone_number": "360-366-4216",
            "fax_number": "360-366-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 FINNEGAN WAY STE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256656",
            "telephone_number": "360-366-4216",
            "fax_number": "360-366-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "SHANNON",
        "name_prefix": "Ms.",
        "credential": "DAC, DCEM, QIGONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60254073",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "TAICHIQIGONGPROFF",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "2019-01",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAI CHI/QIGONG PROFESSIONAL MEMBER",
            "identifier": "NQA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCAOM MEMBER",
            "identifier": "151841",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE",
            "identifier": "AC60254073",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QIGONG PROFESSIONAL MEMBER",
            "identifier": "NQA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "FREEMAN",
            "prefix": "MS.",
            "credential": "DAC, DCEM, QIGONG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.