Individual provider Active NPI

Alyssa Mai-Ling Li

  • Acupuncturist
  • Battle Ground, WA
National Provider Identifier
1457824914
Registry record updated Feb 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
408 E Main St
Battle Ground, WA 98604-8506
Phone
(503) 961-5747
NPI assigned
Jan 8, 2019
Last updated
Feb 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X WA Primary

Addresses

Primary practice location

408 E Main St
Battle Ground, WA 98604-8506

Mailing address

408 E Main St
Battle Ground, WA 98604-8506
Phone (541) 803-8970

Other practice location 1

1207 SE Rasmussen Blvd Ste 119
Battle Ground, WA 98604-8618
Phone (360) 798-5704

Other identifiers 1

IdentifierTypeStateIssuer
2147742MedicaidWA

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

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582934400000",
    "number": "1457824914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E MAIN ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048506",
            "telephone_number": "541-803-8970",
            "fax_number": "360-326-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E MAIN ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048506",
            "telephone_number": "503-961-5747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 SE Rasmussen Blvd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Battle Ground",
            "state": "WA",
            "postal_code": "986048618",
            "country_code": "US",
            "telephone_number": "360-798-5704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "ALYSSA",
        "middle_name": "MAI-LING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147742",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; 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.