Individual provider Active NPI

Lindsay B. Staker, L.AC,

  • Acupuncturist
  • Edmonds, WA
National Provider Identifier
1427370683
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60123237 Issued in WA
Practice address
115 4TH Ave S
Ste C
Edmonds, WA 98020-3515
Phone
(425) 778-2838
Fax
(425) 640-7423
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60123237 WA Primary

Addresses

Primary practice location

115 4TH Ave S
Ste C
Edmonds, WA 98020-3515

Mailing address

115 4TH Ave S
Ste C
Edmonds, WA 98020-3515
Phone (425) 778-2838

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quan Yin Acupuncture, LLC Acupuncturist Current Accepting new patients

Locations

651 Edmonds Way
Ste B
Edmonds, WA 98020
Phone (425) 744-1360

115 4th Ave S
Ste B
Edmonds, WA 98020
Phone (425) 778-2838

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": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1427370683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 4TH AVE S",
            "address_2": "STE C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203515",
            "telephone_number": "425-778-2838",
            "fax_number": "425-640-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 4TH AVE S",
            "address_2": "STE C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203515",
            "telephone_number": "425-778-2838",
            "fax_number": "425-640-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAKER",
        "first_name": "LINDSAY",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "L.AC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60123237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.