Individual provider Active NPI

Shannon Angstead, EAMP

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1447705785
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 00000731 Issued in WA
Practice address
110 Lakeside Ave
Suite B
Seattle, WA 98122-6594
Phone
(206) 850-8035
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 00000731 WA Primary

Addresses

Primary practice location

110 Lakeside Ave
Suite B
Seattle, WA 98122-6594

Mailing address

4623 S Orcas St
Seattle, WA 98118-2432
Phone (206) 850-8035

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

State licenses

LicenseStateTypeSpecialty
AC 00000731WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1447705785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 S ORCAS ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182432",
            "telephone_number": "206-850-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAKESIDE AVE",
            "address_2": "SUITE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226594",
            "telephone_number": "206-850-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGSTEAD",
        "first_name": "SHANNON",
        "credential": "EAMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 00000731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.