Tatyana Johnson, L.A.C

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60297602 Issued in WA

Practice address

903 5TH Ave Ste 102
Kirkland, WA 98033-6348

Phone

(425) 785-1817

NPI assigned

Mar 28, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497044648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19426 79TH CT NE",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282077",
            "telephone_number": "425-785-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 5TH AVE STE 102",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336348",
            "telephone_number": "425-785-1817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4041 169th Avenue SE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980085934",
            "country_code": "US",
            "telephone_number": "425-785-1817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TATYANA",
        "credential": "L.A.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA 60201097",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60297602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Johnson
• Miriam D Johnson, MD
• Nicholas Scott Johnson, D.C.
• Robert Edward Johnson III, DMD, MD
• Shana L Johnson, CNM
• Guoli Johnston, MD
• Sarah Patrice Johnston
• Thomas John Johnston, M.ED., LMP, LMHC
• Jill Jones-Redmond, MS CCC-SLP
• Alfred Jones

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.