Individual provider Active NPI

Susan Catherine Monaco, L.AC.

  • Acupuncturist
  • Olympia, WA
National Provider Identifier
1609178003
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
60014641 Issued in WA
Practice address
222 Kenyon St NW
Ste 9
Olympia, WA 98502-4553
Phone
(360) 943-5570
Fax
(360) 200-6627
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 60014641 WA Primary

Addresses

Primary practice location

222 Kenyon St NW
Ste 9
Olympia, WA 98502-4553

Mailing address

222 Kenyon St NW
Ste 9
Olympia, WA 98502-4553
Phone (360) 943-5570

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
60014641WAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1609178003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 KENYON ST NW",
            "address_2": "STE 9",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024553",
            "telephone_number": "360-943-5570",
            "fax_number": "360-200-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 KENYON ST NW",
            "address_2": "STE 9",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024553",
            "telephone_number": "360-943-5570",
            "fax_number": "360-200-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "SUSAN",
        "middle_name": "CATHERINE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "60014641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.