Rokhsareh Mohammadi, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00002715 Issued in WA

Practice address

1427 228TH St SE Ste D1
Bothell, WA 98021-7407

Phone

(425) 835-6299

NPI assigned

May 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Eastside Gentle Acupuncture LLC

  • Acupuncturist
  • Bothell, WA
  • NPI 1821616384
  NPD Authorized official

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1508245994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 NE 183RD ST # 1-410",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727070",
            "telephone_number": "425-638-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 228TH ST SE STE D1",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217407",
            "telephone_number": "425-835-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMADI",
        "first_name": "ROKHSAREH",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00002715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bothell",
            "affiliation": "N",
            "endpointDescription": "Lap top, computer",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "I use Acusimple software for SOAP notes and patient intake forms, sending emails and text messages to confirm the appointments.",
            "address_1": "1427 228th St SE Ste D1",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980217407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zasembo Taylor Mkhize
• Qiong Mo
• Mobile in-Home PT PLLC
• Fineas Mocan
• Katherine Victoria Modica, ND
• Semida Moldovan
• Molina Healthcare of Washington, Inc
• Molina Healthcare of Washington, Inc.
• John P Monahan, PT, DPT
• Susan Monette-Czarnecki

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.