Kristen Debellis Mattisson, EAMP, LMP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60248797 Issued in WA

Practice address

600 W McGraw St
Suite 1
Seattle, WA 98119-5801

Phone

(206) 282-5386

NPI assigned

Apr 23, 2012

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425772800000",
    "number": "1538426937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 NE 40TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980077127",
            "telephone_number": "631-834-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W MCGRAW ST",
            "address_2": "SUITE 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981195801",
            "telephone_number": "206-282-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISSON",
        "first_name": "KRISTEN",
        "middle_name": "DEBELLIS",
        "credential": "EAMP, LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2015-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60248797",
            "primary": true
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "WA",
            "license": "MA60202945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Matthiesen, CNA
• Zoe Adelaide Matticks, MD
• Makenzie Mattie
• Erica Mattingly, AAC
• Lisa Mattison Jones
• Jubilee Pearl Mattix, ARNP
• Nishvir Kaur Matto
• Nina R. Mattoon, LMP
• Elizabeth A. Mattox, ARNP
• Debra K Mattson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2015; 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.