Individual provider Active NPI

Cherell Lee Zandell, LAC

  • Acupuncturist
  • Shelton, WA
National Provider Identifier
1417145285
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00003004 Issued in WA
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

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC00003004WAMDAcupuncturist

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.

Verify at the official NPI Registry.