Individual provider Active NPI

Nathan Kyle Namolik, LAC.

  • Acupuncturist
  • Kenmore, WA
National Provider Identifier
1427321058
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60252801 Issued in WA
Practice address
5853 NE 181St St
Kenmore, WA 98028-4510
Phone
(425) 381-3697
NPI assigned
Feb 13, 2012
Last updated
Feb 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60252801 WA Primary

Addresses

Primary practice location

5853 NE 181St St
Kenmore, WA 98028-4510

Mailing address

5853 NE 181St St
Kenmore, WA 98028-4510
Phone (425) 381-3697

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
AC60252801WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1427321058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5853 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284510",
            "telephone_number": "425-381-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5853 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284510",
            "telephone_number": "425-381-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMOLIK",
        "first_name": "NATHAN",
        "middle_name": "KYLE",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60252801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.