Active NPI
Elisa Bergquist
- Acupuncturist
- Bellevue, WA
National Provider Identifier
1487092771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 60339269
- Practice address
- 12737 Bel Red Rd
Ste 210
Bellevue, WA 98005-2699 - Phone
- (425) 533-7320
- NPI assigned
- Jun 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 60339269 | WA | Primary |
Addresses
Primary practice location
12737 Bel Red Rd
Ste 210
Bellevue, WA 98005-2699
Mailing address
PO Box 63
Carnation, WA 98014-0063
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 |
|---|---|---|---|
| 60339269 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1487092771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63",
"city": "CARNATION",
"state": "WA",
"postal_code": "980140063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12737 BEL RED RD",
"address_2": "STE 210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052699",
"telephone_number": "425-533-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGQUIST",
"first_name": "ELISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-07",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "60339269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.