Individual provider Active NPI

Lisa Porad, M.S., L.AC

  • Acupuncturist
  • Mercer Island, WA
National Provider Identifier
1528332376
Registry record updated Feb 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
00000667 Issued in WA
Practice address
2445 74TH Ave SE
Mercer Island, WA 98040-2632
Phone
(206) 295-2166
NPI assigned
Feb 25, 2012
Last updated
Feb 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 00000667 WA Primary

Addresses

Primary practice location

2445 74TH Ave SE
Mercer Island, WA 98040-2632

Mailing address

2445 74TH Ave SE
Mercer Island, WA 98040-2632
Phone (206) 295-2166

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00000667WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1330128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330128000000",
    "number": "1528332376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 74TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402632",
            "telephone_number": "206-295-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 74TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402632",
            "telephone_number": "206-295-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORAD",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "M.S., L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-25",
        "last_updated": "2012-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "00000667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.