Organization Active NPI

Embodied Wellness LLC

  • Acupuncturist
  • Spokane, WA
National Provider Identifier
1497494355
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
EMBODIED WELLNESS LLC
Practice address
6107 N Astor St
Spokane, WA 99208-8102
Phone
(509) 210-0550
Fax
(509) 960-9003
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Nerea Keesee, L.AC., EAMPNPI 1093352312
Title
Acupuncturist
Phone
(509) 210-0550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

6107 N Astor St
Spokane, WA 99208-8102

Mailing address

6107 N Astor St
Spokane, WA 99208-8102
Phone (509) 968-1679

Other identifiers 2

IdentifierTypeStateIssuer
1093352312OtherACUPUNCTURE
AC61094788OtherWAWA ACUPUNCTURE LICENSE

Other names 1

  • Nerea Acupuncture & Eastern Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

6107 N Astor St
Spokane, WA 99208
Phone (509) 210-0550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1497494355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6107 N ASTOR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088102",
            "telephone_number": "509-968-1679",
            "fax_number": "509-960-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6107 N ASTOR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088102",
            "telephone_number": "509-210-0550",
            "fax_number": "509-960-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "KEESEE",
        "authorized_official_first_name": "NEREA",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "509-210-0550",
        "authorized_official_credential": "L.AC., EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "1093352312",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA ACUPUNCTURE LICENSE",
            "identifier": "AC61094788",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nerea Acupuncture & Eastern Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nerea Acupuncture & Eastern Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.