Jonah Joldersma, LAC, CCHM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

763 Issued in WA

Practice address

5105 78TH Avenue. NW
Olympia, WA 98502

Phone

(360) 528-3016

NPI assigned

Jan 28, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1538490750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 78TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985029348",
            "telephone_number": "360-528-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 78TH AVENUE. NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-528-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLDERSMA",
        "first_name": "JONAH",
        "credential": "LAC, CCHM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Jolley, MA, LMHC, CMHS
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• Brian Shawn Jonasson, DMD
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• Carmen Jones

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.