Active NPI
Shannon Evans
- Acupuncturist
- Kirkland, WA
National Provider Identifier
1457187635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC61548966
- Practice address
- 143 Park LN
Kirkland, WA 98033-6172 - Phone
- (206) 604-0676
- NPI assigned
- Sep 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC61548966 | WA | Primary |
Addresses
Primary practice location
143 Park LN
Kirkland, WA 98033-6172
Mailing address
3310 211TH Ave NE
Sammamish, WA 98074-6329
Phone (206) 604-0676
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC61548966 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1457187635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 211TH AVE NE",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980746329",
"telephone_number": "206-604-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 PARK LN",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336172",
"telephone_number": "206-604-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC61548966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.