Active NPI
Cherell Lee Zandell, LAC
- Acupuncturist
- Shelton, WA
National Provider Identifier
1417145285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00003004
- Practice address
- 1635 Olympic Hwy N
Suite 102-a
Shelton, WA 98584-3065 - Phone
- (360) 462-8087
- Fax
- (360) 462-8088
- NPI assigned
- Oct 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00003004 | WA | Primary |
Addresses
Primary practice location
1635 Olympic Hwy N
Suite 102-a
Shelton, WA 98584-3065
Mailing address
4940 Cottage LN SE
Lacey, WA 98503-5918
Phone (360) 628-7390
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 |
|---|---|---|---|
| AC00003004 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1417145285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 COTTAGE LN SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985035918",
"telephone_number": "360-628-7390",
"fax_number": "360-462-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 OLYMPIC HWY N",
"address_2": "SUITE 102-A",
"city": "SHELTON",
"state": "WA",
"postal_code": "985843065",
"telephone_number": "360-462-8087",
"fax_number": "360-462-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANDELL",
"first_name": "CHERELL",
"middle_name": "LEE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00003004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.