NPIMap

Organization Active NPI

Grace Acupuncture and Herbs, PLLC

  • Acupuncturist
  • Bellevue, WA
National Provider Identifier
1457747149
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60412491 Issued in WA
Legal business name
GRACE ACUPUNCTURE AND HERBS, PLLC
Practice address
14850 Lake Hills Blvd Ste B4
Bellevue, WA 98007-5800
Phone
(425) 208-1972
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Lisa Megumi Boyle, L.AC.NPI 1063686608
Title
Member
Phone
(425) 208-1972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AC60412491 WA Primary

Addresses

Primary practice location

14850 Lake Hills Blvd Ste B4
Bellevue, WA 98007-5800

Mailing address

5806 119TH Ave SE Ste a
Bellevue, WA 98006-3750

National Provider Directory

National Provider Directory

Locations

5806 119th Ave SE
Ste A
Bellevue, WA 98006

14850 Lake Hills Blvd
Ste B4
Bellevue, WA 98007
Phone (425) 208-1972

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1457747149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5806 119TH AVE SE STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980063750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 LAKE HILLS BLVD STE B4",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075800",
            "telephone_number": "425-208-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ACUPUNCTURE AND HERBS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MEGUMI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-208-1972",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60412491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.