Individual provider Active NPI

Micheala Rose Keehn, LAC, EAMP

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1508306929
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
60720497 Issued in WA
Practice address
7422 E Green Lake Dr N
Apt3
Seattle, WA 98115-5382
Phone
(206) 900-4884
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 60720497 WA Primary

Addresses

Primary practice location

7422 E Green Lake Dr N
Apt3
Seattle, WA 98115-5382

Mailing address

7422 E Green Lake Dr N
Apt3
Seattle, WA 98115-5382
Phone (206) 900-4884

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

LicenseStateTypeSpecialty
60720497WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1508306929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 E GREEN LAKE DR N",
            "address_2": "APT3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155382",
            "telephone_number": "206-900-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7422 E GREEN LAKE DR N",
            "address_2": "APT3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981155382",
            "telephone_number": "206-900-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEHN",
        "first_name": "MICHEALA",
        "middle_name": "ROSE",
        "credential": "LAC, EAMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60720497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.