Active NPI
Jaymie Felice Mackler, N.D., L.AC.
- Acupuncturist
- Vancouver, WA
National Provider Identifier
1467643882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC00002759
- Practice address
- 612 E 17TH St
Vancouver, WA 98663-3428 - Phone
- (360) 326-6336
- Fax
- (844) 965-9804
- NPI assigned
- Aug 9, 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 | NT00001411 | WA | |
| Acupuncturist | 171100000X | AC00002759 | WA | Primary |
Addresses
Primary practice location
612 E 17TH St
Vancouver, WA 98663-3428
Mailing address
2114 Main Street
#100, Box 234
Vancouver, WA 98660
Phone (360) 326-6336
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 |
|---|---|---|---|
| AC00002759 | WA | MD | Acupuncturist |
| NT00001411 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1467643882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 MAIN STREET",
"address_2": "#100, BOX 234",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98660",
"telephone_number": "360-326-6336",
"fax_number": "844-965-9804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 E 17TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986633428",
"telephone_number": "360-326-6336",
"fax_number": "844-965-9804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLER",
"first_name": "JAYMIE",
"middle_name": "FELICE",
"name_prefix": "Dr.",
"credential": "N.D., L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT00001411",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00002759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.