Sage Mountain Acupuncture, PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SAGE MOUNTAIN ACUPUNCTURE, PLLC

Practice address

14090 Fryelands Blvd SE Ste 249
Monroe, WA 98272-2693

Phone

(206) 384-8736

Fax

(360) 805-4134

NPI assigned

Feb 19, 2019

Last updated

Feb 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teri L Manley, L.AC, EAMPNPI 1003019753

Title

Owner

Phone

(206) 384-8736

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teri L Manley, L.AC.

  • Acupuncturist
  • Monroe, WA
  • NPI 1003019753
  Authorized official Same address or phone
• Akilah Spears

  • Massage Therapist
  • Monroe, WA
  • NPI 1558996918

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1578029294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 NE 80TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154840",
            "telephone_number": "206-384-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 FRYELANDS BLVD SE STE 249",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722693",
            "telephone_number": "206-384-8736",
            "fax_number": "360-805-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE MOUNTAIN ACUPUNCTURE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-384-8736",
        "authorized_official_credential": "L.AC, EAMP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Russell
• Brian Joseph Russon, M.S.P.T.ATC
• Alyson Lynette Ryan, APRN
• Sindura Sadanandan, MS, LMHCA
• Safeway Inc (Safeway Pharmacy #0537)
• Brenda Helen Samples, OTR/L
• Aiden Savoie-Gavosto, LMP
• George Graham Sayre, PSY.D.
• Evelyn Lee Scarborough
• Andrea A Schlechty, LSWAIC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.