Individual provider Active NPI

Bajda Valentina Welty, MS, LAC, LMP

  • Acupuncturist
  • Bainbridge Island, WA
National Provider Identifier
1477626323
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1905 Issued in WA
Practice address
9431 Coppertop Loop NE Unit 206
Bainbridge Island, WA 98110
Phone
(206) 780-6988
Fax
(206) 686-3385
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60261321 WA
Acupuncturist 171100000X 1905 WA Primary

Addresses

Primary practice location

9431 Coppertop Loop NE Unit 206
Bainbridge Island, WA 98110

Mailing address

PO Box 10578
Bainbridge Island, WA 98110-0578
Phone (206) 780-6988

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1905WAMDAcupuncturist
MA60261321WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fire Dragon Acupuncture Inc Acupuncturist CurrentSince May 31, 2020 Accepting new patients

Locations

9431 Coppertop Loop NE
Unit 206
Bainbridge Island, WA 98110
Phone (206) 780-6988

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1477626323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10578",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981100578",
            "telephone_number": "206-780-6988",
            "fax_number": "206-686-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 COPPERTOP LOOP NE UNIT 206",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "98110",
            "telephone_number": "206-780-6988",
            "fax_number": "206-686-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTY",
        "first_name": "BAJDA",
        "middle_name": "VALENTINA",
        "credential": "MS, LAC, LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60261321",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.