Individual provider Active NPI

Susan C Frosolone, M.AC.

  • Acupuncturist
  • Oak Harbor, WA
National Provider Identifier
1427294776
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00001954 Issued in WA
Practice address
830 SE Bayshore Dr
Suite 201
Oak Harbor, WA 98277-4066
Phone
(360) 969-5714
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00001954 WA Primary

Addresses

Primary practice location

830 SE Bayshore Dr
Suite 201
Oak Harbor, WA 98277-4066

Mailing address

1340 Penn Cove Rd
Oak Harbor, WA 98277-8233
Phone (360) 969-5714

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
AC00001954WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1427294776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 PENN COVE RD",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982778233",
            "telephone_number": "360-969-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SE BAYSHORE DR",
            "address_2": "SUITE 201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774066",
            "telephone_number": "360-969-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROSOLONE",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "M.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00001954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.