Individual provider Active NPI

Alicia R Kochan, L.AC.

  • Acupuncturist
  • Bellingham, WA
National Provider Identifier
1467779751
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC60071605 Issued in WA
Practice address
1221 Fraser St
Suite E-1
Bellingham, WA 98229-5844
Phone
(360) 296-4444
NPI assigned
Apr 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60071605 WA Primary

Addresses

Primary practice location

1221 Fraser St
Suite E-1
Bellingham, WA 98229-5844

Mailing address

929 11TH St
#301
Bellingham, WA 98225-6241
Phone (360) 296-4444

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

LicenseStateTypeSpecialty
AC60071605WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1467779751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 11TH ST",
            "address_2": "#301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256241",
            "telephone_number": "360-296-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 FRASER ST",
            "address_2": "SUITE E-1",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982295844",
            "telephone_number": "360-296-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHAN",
        "first_name": "ALICIA",
        "middle_name": "R",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60071605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.