Kirsten Marie Thomassen, EAMP, L.AC., DIPL.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 60354712 Issued in WA

Practice address

9951 Mickelberry Rd NW
Suite 215
Silverdale, WA 98383-8309

Phone

(206) 245-6119

NPI assigned

May 26, 2016

Last updated

May 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Heavenly Ancestor 5 Element Acupuncture LLC

  dba 5 Element Acupuncture

  • Acupuncturist
  • Bainbridge Island, WA
  • NPI 1114387560
  NPD (past) Authorized official

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1487002713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 WESTERLY LN NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102698",
            "telephone_number": "206-245-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW",
            "address_2": "SUITE 215",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838309",
            "telephone_number": "206-245-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASSEN",
        "first_name": "KIRSTEN",
        "middle_name": "MARIE",
        "credential": "EAMP, L.AC., DIPL.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC 60354712",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5401000102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1114387560",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• This Too Shall Pass (Accountable Future)
• Denfield Arnaldo Thomas
• Hallie Thomas, RN
• Karen Thomas
• Robert Thomas
• Cheryl D Thompson, M.S. CCC/SLP
• Lorinda Marie Thompson, MSW, LICSW
• Madelyn Lake Thompson
• Phoebe Nicole Thompson, B.S.
• Rebecca L Thompson, BC-HIS

• Acupuncturist in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.