Family Acupuncture & Wellness LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60248752 Issued in WA

Legal business name

FAMILY ACUPUNCTURE & WELLNESS LLC

Practice address

310 S 3Rd Ave
Walla Walla, WA 99362-3037

Phone

(509) 525-9081

NPI assigned

Jan 24, 2012

Last updated

Jan 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi De Jong, L.AC.

Title

Acupuncturist

Phone

(509) 525-9081

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1497026348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S 3RD AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623037",
            "telephone_number": "509-525-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 3RD AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623037",
            "telephone_number": "509-525-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ACUPUNCTURE & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "DE JONG",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "509-525-9081",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60248752",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60250942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelane R Fackenthall, ARNP
• John Anton Fackenthall, D.O.
• Travis Christoph Fagala, DENTURIST
• Cynthia Marie Failor, RN
• Jennings C Falcon II, MD
• Family Practice Associates of Walla Walla PLLC
• Nadia Farjo, DMD MSD
• Holly Ross Farnam, PT
• Kathryn Farrell
• Wendi Fauver

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.