Individual provider Active NPI

Kiyomi Okawa, LAC

  • Acupuncturist
  • Seattle, WA
National Provider Identifier
1578055398
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
60848015 Issued in WA
Practice address
444 NE Ravenna Blvd Ste 301
Seattle, WA 98115-6467
Phone
(206) 617-3031
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 60848015 WA Primary

Addresses

Primary practice location

444 NE Ravenna Blvd Ste 301
Seattle, WA 98115-6467

Mailing address

1310 Queen Anne Ave N Apt 15
Seattle, WA 98109-5710
Phone (206) 617-3031

Other practice location 1

1310 Queen Anne Ave N Apt 15
Seattle, WA 98109-5710
Phone (206) 617-3031

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
60848015WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1578055398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 QUEEN ANNE AVE N APT 15",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095710",
            "telephone_number": "206-617-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NE RAVENNA BLVD STE 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156467",
            "telephone_number": "206-617-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Queen Anne Ave N Apt 15",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981095710",
            "country_code": "US",
            "telephone_number": "206-617-3031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAWA",
        "first_name": "KIYOMI",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60848015",
            "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 Jun 6, 2018; 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.