Active NPI
Cornelia R. Moynihan, N.D., L.AC.
- Acupuncturist
- Tacoma, WA
National Provider Identifier
1467579284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00002814
- Practice address
- 2102 N Alder St
Tacoma, WA 98406-6637 - Phone
- (253) 759-2300
- Fax
- (253) 759-2333
- NPI assigned
- Mar 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT00001473 | WA | |
| Acupuncturist | 171100000X | AC00002814 | WA | Primary |
Addresses
Primary practice location
2102 N Alder St
Tacoma, WA 98406-6637
Mailing address
314 N G St Apt A2
Tacoma, WA 98403-2282
Phone (253) 250-2630
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 |
|---|---|---|---|
| AC00002814 | WA | MD | Acupuncturist |
| NT00001473 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1467579284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 N G ST APT A2",
"city": "TACOMA",
"state": "WA",
"postal_code": "984032282",
"telephone_number": "253-250-2630",
"fax_number": "253-759-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 N ALDER ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984066637",
"telephone_number": "253-759-2300",
"fax_number": "253-759-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYNIHAN",
"first_name": "CORNELIA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "N.D., L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT00001473",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00002814",
"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 Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.