Individual provider Active NPI

Mechelle Kneidinger

  • Acupuncturist
  • Tacoma, WA
National Provider Identifier
1457146045
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC61675212 Issued in WA
Practice address
3007 6TH Ave
Tacoma, WA 98406-6202
Phone
(253) 254-6498
NPI assigned
Apr 14, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC61675212 WA Primary

Addresses

Primary practice location

3007 6TH Ave
Tacoma, WA 98406-6202

Mailing address

6407 S Prospect St
Tacoma, WA 98409-6040

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
AC61675212WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1457146045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 S PROSPECT ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066202",
            "telephone_number": "253-254-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEIDINGER",
        "first_name": "MECHELLE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC61675212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.